Memberships 2025 Membership Application Form Members Name & Contact Details:Member/s Name: First Last Member/s Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Member/s PhoneMember/s Email Membership Options: Non Player MembershipBear Cub Age 0-12yrs Membership Price: $ 20.00 Quantity: Membership Type: -Home Game Membership Card & Draw --Home Game Mascot Opportunity -One complimentary drink and bag of lollies from the canteen each home game. - Aged Pension Membership Price: $ 65.00 Quantity: 1 Adult ticket. Home Game Membership Card & DrawSpecial Life Member Price: $ 90.00 Quantity: - 1 Adult ticket. -. - Invite to the Sponsors/Special Members Lunch. Home Game Membership Card & DrawSingle Membership Price: $ 135.00 Quantity: - 1 Adult ticket.Special Membership Price: $ 200.00 Quantity: - 1 Adult ticket. - - Invite to the Sponsors/Special Members Lunch. Home Game Membership Card & DrawFamily Membership Price: $ 250.00 Quantity: - 2 Adult tickets. - 2 Children under the age of 18 (Players MUST purchase a Player Membership) Home Game Membership Card & Draw Premium Membership Price: $ 630.00 Quantity: - 4 Adult tickets. - 1. - 1 x Grand Final Eve Luncheon ticket. - Invite to the Sponsors/Special Members Lunch. Home Game Membership Card & DrawSuper Membership Price: $ 1,250.00 Quantity: - 8 Adult tickets. - - 2 x Grand Final Eve Luncheon ticket. - Invite to the Sponsors/Special Members Lunch. Home Game Membership Card & DrawThursday Night Teas Membership Price: $ 150.00 Quantity: Thursday night teas located on one card. When Thursday Night Cards are presented at Thursday night teas, each meal is marked off (discounted price of $15 per meal)Total $ 0.00 Credit CardCard Details Cardholder Name WAIVER RELEASE & INDEMNIFICATION* I agree to the WAIVER RELEASE & INDEMNIFICATION.In consideration of the acceptance of my membership or participation in events with the Shepparton Football Netball Club. 1. I waive all claims that I may have against the Shepparton Football Netball Club Inc, its officers, directors, members, volunteers, employees, agents and sponsors, or its executors, administrators, heirs, successors or assigns (the organisers), and release them from all claims for death, injury or damage arising out of my participation in their club, their event and its related activities, together with any costs, including legal fees. 2. I agree to indemnify and keep indemnified the organisers against damage arising out of my participation in the events and its related activities. 3. I agree to comply with all the rules, regulations and instructions of the organisers. 4. In the event of injury or illness during participation, I consent to receive medical treatment, which may be deemed advisable by the organisers. 5. I acknowledge that I have sole responsibility for my personal possessions and equipment during all the events and activities. 6. I hereby permit the free use of my name and picture in any broadcasts, telecasts and the press including website as they pertain to the Shepparton Football Netball Club their events and activities. 7. I understand that my membership or entry entry fee is non-transferable and not refundable. 8. I agree to have my personal details recorded and used by the Shepparton Football Netball Club and related parties for further communications of future related events. 2025 Player Membership Application Form Players Name & Contact Details:Players Name: First Last Players Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Players PhonePlayers Email Football Player MembershipsFootball Senior Player Membership Price: $ 350.00 Quantity: Senior Player (includes entry to player functions excludes Season Launch, Presentation Night, Ball and Grand Final Lunch) Home Game Membership Card & DrawFootball U18 Player Membership Price: $ 230.00 Quantity: Under 18 Players Home Game Membership Card & DrawNetball Player MembershipsNetball Senior Player Membership Price: $ 225.00 Quantity: Senior Player (includes entry to player functions excludes Season Launch, Presentation Night, Ball and Grand Final Lunch) Home Game Membership Card & DrawJunior Netballer Membership Price: $ 145.00 Quantity: Junior Netballer (U17) Home Game Membership Card & DrawThursday Night Teas Membership Price: $ 150.00 Quantity: Thursday night teas located on one card. When Thursday Night Cards are presented at Thursday night teas, each meal is marked off (discounted price of $15 per meal)Total $ 0.00 Credit CardCard Details Cardholder Name WAIVER RELEASE & INDEMNIFICATION* I agree to the WAIVER RELEASE & INDEMNIFICATION.In consideration of the acceptance of my membership or participation in events with the Shepparton Football Netball Club. 1. I waive all claims that I may have against the Shepparton Football Netball Club Inc, its officers, directors, members, volunteers, employees, agents and sponsors, or its executors, administrators, heirs, successors or assigns (the organisers), and release them from all claims for death, injury or damage arising out of my participation in their club, their event and its related activities, together with any costs, including legal fees. 2. I agree to indemnify and keep indemnified the organisers against damage arising out of my participation in the events and its related activities. 3. I agree to comply with all the rules, regulations and instructions of the organisers. 4. In the event of injury or illness during participation, I consent to receive medical treatment, which may be deemed advisable by the organisers. 5. I acknowledge that I have sole responsibility for my personal possessions and equipment during all the events and activities. 6. I hereby permit the free use of my name and picture in any broadcasts, telecasts and the press including website as they pertain to the Shepparton Football Netball Club their events and activities. 7. I understand that my membership or entry entry fee is non-transferable and not refundable. 8. I agree to have my personal details recorded and used by the Shepparton Football Netball Club and related parties for further communications of future related events.