ࡱ> npm #bjbj 4h<88{{8|,/va" ,,,,,,,$.B1+,"!@+,{{Z@,???d{{8,?,??r*%+p:b/*+V,0,*z1~1%+%+19+m?tqZ+,+,/,18 A: Dear Member of the Ballarat Hockey Community, welcome to the beginning of the 2010 season. The Hockey Ballarat Committee is excited about the upcoming season for hockey in Ballarat and looks forward to working with you during 2010. To ensure we can prepare for the 2010 season (which will begin on the weekend of the 17/18th April) we would like to get the following information from your club/team as soon as possible to enable planning for the competition season Nominate a delegate for your club/team so we canensure clear communication List the number of teams you will enter in the senior competition and their uniform - also note the need for an alternate playing strip Let us know of any fixture and trainingrequests We require two umpires nominated from each team- payment will be provided to umpires via electronic transfer. Please note the entry fee has increased slightly from 2009 this is to enable Hockey Ballarat to continue to build up a fund to contribute towards turf replacement which is due imminently (subject to available finance). For the 2010 season, clubs/teams will again be required to provide volunteers to operate the canteen and to contribute towards cleaning the facility (last matches on Sunday evenings). Please communicate this expectation to your players and support personnel remember, the only way that a successful association operates is to have all members contributing in some form. We require the number of teams participating from your club for the senior draw by the 26th of March. The 2010 draw will be then finalized by the 7th of April. Please help Hockey Ballarat help you, by providing accurate and timely information as soon as possible. If you require any further information or assistance please contact us on the above email and the relevant committee member will endeavour to answer your queries. Regards, Cassie Lindsey Hockey Ballarat President Please Send To: Hockey Ballarat Administrative Sub-Committee HYPERLINK "mailto:admin@hockeyballarat.org.au"admin@hockeyballarat.org.au Ph: 0407 338 508 PO Box 188 Ballarat VIC 3353  SUMMARY: All Sections to be filled out by all clubs / affiliates SECTION A: Club Information Appointment of Delegates Declaration SECTION B: Team Entries Team Registration Fee Team Uniform Coaching Personnel SECTION C: Fixturing Requests SECTION D: Ground Information SECTION E: Umpire Nomination SECTION A: CLUB INFORMATION Club / Affiliate Name: APPOINTMENT OF DELEGATES: Each Affiliate shall appoint 1 Delegate for such term as is deemed appropriate by the Affiliate. A Delegate must: be an Individual Member of that club / affiliate; AND be appropriately empowered by the appointing Affiliate to consider, make decisions and vote at Delegates Meetings; Should the nominated delegate be unable to attend a delegate meeting, it nominated a secondary delegate to attend the meeting on its behalf. We wish to advise that our Association delegate to Hockey Ballarat for 2010 is: Team Contact: Main Secondary Name: Position: Telephone: Mobile: E-Mail: Address: DECLARATION: The above named club/affiliate hereby seeks affiliation with Hockey Ballarat Inc. for the year 2010. As an elected office bearer/representative and on behalf of the affiliate, I understand and accept the Constitution, Rules and By Laws of Hockey Ballarat, and policies that may be adopted by the Hockey Ballarat Executive Committee from time to time. Signature: Name: Date: Position: SECTION B: TEAM ENTRIES TEAM REGISTRATION FEE: No. Mens Teams:@ $ 1650.00 per team $No. Womens Teams:@ $ 1650.00 per team $TOTAL  $ Cheques (made payable to Hockey Ballarat) to: Hockey Ballarat PO Box 188 Ballarat VIC 3350 Please Note: Anticipated Payment Schedule: 33% Payable by End Round 4, 33% Payable by End Round 8, 33% Payable by End Round 12. (Exact Dates to be specified during fixturing) Turf Fees of $66 per match also apply. TEAM UNIFORM Uniform Colours: Home Alternate Shirt: Shorts/Skirt: Socks: COACHING PERSONNEL TEAM NAME:  FORMCHECKBOX  Mens  FORMCHECKBOX  Womens (Ms/Miss/Mrs/Mr): Postal Address: Personal Email: Fax: Phone: (H) (B) Mobile: Highest NCAS Coaching Qualification Level: Year: TEAM NAME:  FORMCHECKBOX  Mens  FORMCHECKBOX  Womens (Ms/Miss/Mrs/Mr): Postal Address: Personal Email: Fax: Phone: (H) (B) Mobile: Highest NCAS Coaching Qualification Level: Year: TEAM NAME:  FORMCHECKBOX  Mens  FORMCHECKBOX  Womens (Ms/Miss/Mrs/Mr): Postal Address: Personal Email: Fax: Phone: (H) (B) Mobile: Highest NCAS Coaching Qualification Level: Year: TEAM NAME:  FORMCHECKBOX  Mens  FORMCHECKBOX  Womens (Ms/Miss/Mrs/Mr): Postal Address: Personal Email: Fax: Phone: (H) (B) Mobile: Highest NCAS Coaching Qualification Level: Year: SECTION C: 2009 FIXTURING REQUESTS Are there any other special considerations you would like us to consider with fixturing? Some examples of fixturing requests/preferences include: Fixturing of your clubs womens and mens matches together on one day, or on separate days, or a mixture Fixturing on particular days Specific dates for club days Please detail below all of your clubs fixturing requests and/or preferences in order of priority. Please note that Hockey Ballarat does not guarantee that any or all of the fixturing requests will be met. SECTION D: TRAINING INFORMATION TRAINING REQUEST Preferred Training Day and Time : Any Other Request in relation to training : SECTION E: UMPIRE NOMINATION Name: Umpiring Badge: Experience: Name: Umpiring Badge: Experience: Name: Umpiring Badge: Experience: Name: Umpiring Badge: Experience: Name: Umpiring Badge: Experience:     Senior Competition Team Entry Form 2010 Team Entries Close: Friday 26th March Season Commences: 17th-18th April www.hockeyballarat.org.au  /1RT[\^_  C E F H U b $ % & N h ҲҤҘ҉h)h)CJOJQJaJh/aCJOJQJaJhnGB*OJQJ^Jphh)B*OJQJ^Jphh zh+]B*OJQJ^Jphh/aB*OJQJ^Jphh zB*OJQJ^Jphh1-B*OJQJ^Jphh/a6^_ & P . FRT]^m$a$ dd[$\$gd z & Fdd[$\$gd) & Fdd[$\$gd/agd/a 6 N O P   , - . 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