My account | Walking Netball Queensland

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Register

- Player details
- First name*
- Last Name*
- Date of birth*
- Country of birth*
- Gender*
- Phone*
- Email*
- Password*
- Confirm password*
- Player address
- Address*
- Suburb*
- Postcode*
- State
- Country*
- What is your preferred playing location?*
- Emergency contact
- Emergency contact name*
- Emergency contact phone number*
- Netball
- What is your main reason for attending this Walking Netball Session?*
  - Meet new friends
  - Improve health/fitness
  - Returning from injury
  - Looking for a new activity
  - To avoid loneliness
  - Love netball
  - Other
- Which type of netball are you interested in?*
  - Social
  - Competitive
- Are you interested in umpiring?*
  - Yes
  - No
- Are you interested in volunteering some time towards the organisation of Walking Netball?*
  - Yes
  - No
- Have you ever had a MyNetball account? *
  - Yes
  - No
- Do you know what your MyNetball number is?*
  - Yes
  - No
- What is your MyNetball number?*
- Do you give Walking Netball Brisbane permission to take photos / video for printed and online publicity purposes?*
  - Yes
  - No
- Do you want Walking Netball Brisbane to email you the latest Walking Netball news?*
  - Yes
  - No
- Walking Netball Brisbane will not be liable for any loss, damage to or theft of participants’ personal property or for any injury sustained during or as a result of participation in our sessions.
  
  Walking Netball Brisbane and Netball Queensland will retain and use your personal data for the purposes of your participation in the Walking Netball Brisbane Program.
- *
  - I have read understand and accept the Terms and Conditions and agree to participate in the Walking Netball Brisbane Program.
- Physical Activity Readiness Questionnaire
- There are many health benefits associated with regular exercise and the completion of this Physical Activity Readiness Questionnaire is a sensible first step to take if you are planning to increase the amount of physical activity in your life. For most people being more active is very safe, however we advise that you obtain a medical health check-up from a doctor before taking part.
  
  Common sense if your best guide when answering these questions, please read carefully and tick YES or NO.
- Has your doctor ever said you have heart trouble?*
  - Yes
  - No
- Do you frequently have pains in your heart or chest?*
  - Yes
  - No
- Do you often feel faint or have spells of severe dizziness?*
  - Yes
  - No
- Has a Doctor ever said your blood pressure was too high?*
  - Yes
  - No
- Do you have a bone or joint problem(s) that may be worsened with exercise?*
  - Yes
  - No
- Do you know of any reason why you should not take part in physical activity?*
  - Yes
  - No
- Are you or have you been pregnant in the last 6 months?*
  - Yes
  - No
- Do you suffer from any problems of the lower back?*
  - Yes
  - No
- Are you currently taking any medications?*
  - Yes
  - No
- Do you currently have a disability?*
  - Yes
  - No
- Do you have any allergies, medication/food etc?*
  - Yes
  - No
- Would you like a Balance and Mobility Assessment?*
  - Yes
  - No
- If you have answered NO to all the questions above, it gives a general indication that you may participate in physical activities. Please note that this does not guarantee that you will have a normal response from exercise and should you have any areas of concern these should be discussed with a medical professional.
- If you answered YES to any of the above questions, please provide further details here:
- MailChimp
- *
  - I have read and agree to the indemnity terms and conditions
- *
  - I declare that I have completed all statements accurately and can confirm that I am able to participate in Walking Netball.
- - Billing Address
  - First Name*
  - Last Name*
  - Email Address*
  - Phone*
  - Address*
  - Suburb*
  - State*
  - Postcode*

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Player details

Player address

Emergency contact

Netball

Physical Activity Readiness Questionnaire

Billing Address