EmailMe Form - 2021 Annual Association Affiliation Agreement New

Are you a new or lapsed Association? *

Lapsed

New

Name of your Association *

Association Name *

Please select your Association

Do you wish to be assigned Small Country Association status in 2021? *

Yes

No

Please note: A Small Country Association is a Tier 3 Association, or Associate Member, running an affiliated competition, with 150 members or fewer who has applied to be a Small Country Association through this affiliation process. Click here for more information on Small Country Association status.

Association email address *

Please provide the email address that your members and the public can use to contact the Association with inquiries. This email address should be generic if possible (e.g. exampleassociation@gmail.com; admin@exampleassociation.com). This email address will be made available on the Netball WA website for your Association.

Association postal address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please indicate the location where mail should be sent to the association (PO Box or street address)

Does your Association have a Head Office? *

Yes

No

Head Office Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Office Hours *

Please provide the regular office hours of your Association staff / volunteers (e.g. Mon - 9am to 4pm)

Primary Contact Name *

First Last

The Primary Contact of your Association is the person who Netball WA will contact in the first instance for most communications.

Primary Contact Phone *

Primary Contact Email *

Confirm Primary Contact Email *

Preferred method of communication *

Email

Phone

Please indicate whether your Primary Contact would prefer to be contacted by phone or email.

Billing Contact *

Our Billing Contact is our Primary Contact

Our Billing Contact is our Treasurer

Other

Please indicate to whom you would prefer invoices to be sent.

Billing Address *

Same as postal address

Different to postal address

Please indicate to where you would like your invoices to be addressed.

Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Can large deliveries be made to your listed Postal Address or Head Office? *

Yes, to our postal address

Yes, to our head office

Yes, to either our postal address or head office

No

Large deliveries might be Belt Up balls, hand sanitiser, uniforms, or anything else that would normally require pick-up or delivery.

Postal Address for Large Deliveries *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please indicate the location where large deliveries should be made. This might be Belt Up balls, hand sanitiser, uniforms, or anything else that would normally require pick-up or delivery

Does your Association play at once or more venues? *

One venue

Multiple venues

Please provide the address of your primary venue *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please provide the addresses of any other venues at which your Association plays *

Is your Association incorporated? *

Yes

No

All Member Associations must be incorporated under the Associations Incorporation Act 2015 (WA). You can search for you incorporation status on AssociationsOnline by searching your organisation’s name.

Incorporation number *

Your incorporation number will be a letter, followed by seven digits, and ending with a letter (e.g. A0123456B). If unsure, this can be found by searching on AssociationsOnline.

Date of Annual General Meeting *

Please provide the anticipated month, and where possible the date, of your Association's AGM.

Confirm that your Association uses the MyNetball platform for Online Registration and Competition Management *

Yes

If no, please explain usage and provide reasons

Will your Association use the MyNetball platform for a website? (This function is optional) *

Yes

No

Does your Association have a website? *

Yes

No

Association website *

Does your Association have an ABN? *

Yes

No

Please indicate whether your Association has an Australian Business Number. This can be found by searching your Association on the ABN Lookup website.

ABN *

Please enter your Association’s ABN. This can be found by searching your Association on the ABN Lookup website.

Is your Association registered for GST? *

Yes

No

Has your Association updated their constitution since 7th February 2020? *

Yes

No

Association constitutions must be updated to comply with the Associations Incorporation Act 2015 (WA).

Has your Association updated their bylaws or policies and procedures since 7th February 2020? *

Yes

No

Please attach a copy of your Association's current constitution *

Please attach a copy of your Association's current bylaws / policies. *

Office Bearers *

President's Name *

First Last

President's Phone *

President's Email *

Administrator's Name *

First Last

Administrator's Phone *

Administrator's Email *

Treasurer's Name *

First Last

Treasurer's Phone *

Treasurer's Email *

Vice President's Name *

First Last

Vice President's Phone *

Vice President's Email *

Secretary's Name *

First Last

Secretary's Phone *

Secretary's Email *

Registrar's Name *

First Last

Registrar's Phone *

Registrar's Email *

ADO's Name *

First Last

ADO's Phone *

ADO's Email *

AUDO's Name *

First Last

AUDO's Phone *

AUDO's Email *

MPIO's Name

First Last

MPIO's Phone *

MPIO's Email *

Complaints Handler's Name *

First Last

Complaints Handler's Phone *

Complaints Handler's Email *

Other Office Bearers at your Association and their contact details *

Will your Association run a winter competition? *

Yes

No

Please indicate the type(s) of Winter Competition your Association conducts *

Does your Association operate its competition on: *

The school year

Year of birth

For example, the junior competition is split into Year 6, Year 7, Year 8, etc., OR split into ages 11, 12, 13 as of 31 December

Please indicate your winter season starting date *

DD / MM / YYYY

Please indicate your winter season ending date *

DD / MM / YYYY

Please indicate the day(s) that your winter season is run *

Does your Winter competition include Affiliated Clubs, Entity Teams, or both? *

Affiliated Clubs

Entity Teams

Both

How many Affiliated Clubs play at your winter competition? *

How many Entity Teams play at your winter competition? *

Total number of NetSetGO teams that participated in winter in 2020 *

Total number of junior teams that participated in winter in 2020 *

Total number of senior teams that participated in winter in 2020 *

When do team registrations open for the winter competition? *

DD / MM / YYYY

When do team registrations close for the winter competition? *

DD / MM / YYYY

Is your Association willing to pilot competitions not currently conducted? *

Yes

No

For example, walking netball.

Will your Association run a short season competition? *

Yes

No

Undecided

Please indicate the type(s) of Short Season Competition your Association conducts *

Please indicate your short season starting date *

DD / MM / YYYY

Please indicate your short season ending date *

DD / MM / YYYY

Please indicate the day(s) that your short season is run *

Does your Short Season competition include Affiliated Clubs, Entity Teams, or both? *

Affiliated Clubs

Entity Teams

Both

How many Affiliated Clubs play at your short season competition? *

How many Entity Teams play at your short season competition? *

Total number of NetSetGO teams that participated in the short season in 2020 *

Total number of junior teams that participated in the short season in 2020 *

Total number of senior teams that participated in the short season in 2020 *

When do team registrations open for the short season competition? *

DD / MM / YYYY

When do team registrations close for the short season competition? *

DD / MM / YYYY

Does your Association intend to run any additional participation programs? *

Please indicate the approximate date(s) of any Carnivals or Tournaments *

Please note that all carnivals and tournaments must be sanctioned by Netball WA through the use of the Carnival Sanctioning Form. Carnivals must be sanctioned prior to their advertisement or promotion.

Please indicate the approximate registration dates of any Carnivals or Tournaments *

Does your Association want more information on how they can run any additional participation programs? *

Does your Association intend to participate in any of the following competitions, activities, or development pathways? *

Approximately how many teams will you be registering for competitions, activities, or development pathways? *

Please describe the other pathways and/or programs that your Association intends to participate in. *

Are you currently able to submit an up-to-date list of Club and Entity Team contacts? *

Yes

I will submit the contact list before 27th March

If not available immediately, please indicate the date the contact list will be available in the 'I will submit the contact list before 27th March' checkbox.

Your 2020 Club and Entity Team Contact List should include at least two Primary Contacts for each Club, and at least one Primary Contact for each Entity Team.

The template 2020 Club and Entity Team Contact List was sent out with the Affiliation Packet in 2020. If you require a new template, please email Adam at membership.metroadmin@netballwa.com.au

A copy MUST be provided by 27 March 2020. Subsequent updates can be made after this date as required.

Please attach a copy of your 2020 Club and Entity Team Contact list *

Affiliated Club Affiliation *

I confirm that that all Affiliated Clubs and Entity Teams participating in our Association's competitions are, and will be, correctly affiliated with both our Association and Netball WA

Working with Children Requirements

Organisations in WA who engage in child-related work have requirements under the Working with Children (Criminal Record Checking) Act 2004. Please confirm that your Association: *

Ensures that all volunteers and staff who need a WWC card have one

Keeps a register of WWC records for volunteers and staff

Keeps copies of WWC cards of volunteers and staff

Regularly checks and updates the register

Removes staff and volunteers from child-related work if they get a negative notice or their cards expire

Our Association has an up-to-date Working with Children register? *

Yes

No

Unsure / assistance required

Check out the Working with Children website for information on WWC record keeping and an example WWC register spreadsheet.

Click here to see an example of a completed WWC register.

Our Association is compliant with our Working with Children requirements under the legislation *

Yes

No

Unsure / assistance required

Have you checked out the Working with Children Health Check?

DLGSC has a self-assessment tool for child safe organsiations that can help identify gaps in your current process.

Association Delegate

As part of your affiliation requirements under Netball WA's constitution, each Association is required to provide the name and contact email of one Delegate who will receive important notices, such as AGM notices.

For Tier 1 Associations, your Delegate will also be your voting delegate at the Netball WA AGM.

Delegates MUST be registered as a member in 2020 prior to the determined cut-off date to be elible.

Delegates can be changed during the year providing that two days notice of the change is given in writing to Netball WA including the full details below.

If you have any questions about the role of the Delegate, please get in touch with Liz Booth, General Manager - Community Netball on 08 9380 3709 or by email at liz.booth@netballwa.com.au

Delegate Name *

First Last

Delegate Email *

Delegate Phone Number *

Delegate MyNetball Number *

Authorisation Confirmation

Affiliation Agreement Authorisation *

I have been authorised by our Association to complete this form, and, having completed it to the best of my knowledge, confirm that our Association agrees to and will comply with Netball WA's Membership & Affiliation Procedures and Membership Policy.

I confirm that our Association will comply with all other policies and guidelines from Netball WA and netball Australia as they apply to my Association.

I confirm that I have read and understood these obligations.

Netball WA Membership Policy 2020
2021 Membership and Affiliation Procedures

Authorised Person *

First Last