Sport-a-Month - Noarlunga Leisure Centre

Registration Form – January 2012
Registration
Form
– January
2012
Registration
_________________________________
RegistrationForm
Form––January
January2012
2012
January 2012
_________________________________
Full Name:________________________________________
FullName:________________________________________
Name:________________________________________
______________
Postcode: ________
Full
Address:
_________________________________________
Full Name:________________________________________
Address:_________________________________________
_________________________________________
Address:
Address: _________________________________________
Age: ____________
_____________________________
Postcode: ________
_____________________________
Postcode: ________
________
_____________________________
Postcode:
_____________________________
Postcode:
________
Phone:
Age: ____________
_________________________________
Phone:
Age: ____________
Phone:
Age:
Phone:
Age:____________
____________
Email: ___________________________________________
atic Sports
Session
No: _________
Email:
___________________________________________
Email:
___________________________________________
Email:
___________________________________________
t about
SAM?
Come
and___________________
Try Aquatic Sports Session No: _________
How
didand
youTry
find
out about
SAM?
___________________
Come
Aquatic
Sports
Session
No:
_________
Come
and
Aquatic
SportsSession
SessionNo:
No:_________
_________
Come
and
TryTry
Aquatic
Sports
How
did
you
find
out
about
SAM?
___________________
How
did
you
find
out
about
SAM?___________________
___________________
How
did
you
find
out
about
SAM?
Risk
waiver
robics/AquaFit is an activity that can result in
I Risk
am aware
that Aquaerobics/AquaFit is an activity that can result in
waiver
owledgepersonal
that
by
participating
in this activity
there in this activity there
Risk
waiver
Risk
waiver
injury.
I Aquaerobics/AquaFit
acknowledge that by is
participating
I am
aware
that
an
activity
that
can
result
inin
I
am
aware
that
Aquaerobics/AquaFit
isan
anactivity
activitythat
thatcan
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resultin
I will sustain
personal
injury;
however
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choose
I personal
am
that
Aquaerobics/AquaFit
is
is
an aware
inherent
risk
that
I
will
sustain
personal
injury; however
I choose
injury.
I acknowledge
that
bybyparticipating
ininthis
activity
there
personal
injury.
I acknowledge
that
participating
thisactivity
activitythere
there
personal
injury.
I
acknowledge
that
by
participating
in
this
tivity into
any
event.
By
signing
this
authority,
I
participate
in
this
activity
in
any
event.
By
signing
this
authority,
I
is is
anan
inherent
risk
that
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however
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inherent
risk
that
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howeverII Ichoose
choose
is
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inherent
risk
that
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will
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personal
agree
that
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liability
confers
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organisers
and
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also
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to
onfers onto
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andinIinalso
agree
tosigning
to to
participate
ininthis
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any
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By
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participate
this
activity
any
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By
signing
this
authority,
toagree
participate
inliability
this activity
in onto
any
event.
By signing
this
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ItoI
Marrickville
Council
and
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andagree
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organisers
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I
also
agree
associations
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legal
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of
any
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death,
indemnify
Marrickville
Council
and
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result
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any
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damage or loss that may be resultant from this activity.
damage
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I understand
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mymay
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The
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supply
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participating
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Act 1998.
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information
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form
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information
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The
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information
form
Council
2-14
Fisher
Street,inPetersham
NSW 2049.
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this
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Marrickville
of 2-14
Fisher
Street,
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signing
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By
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participating
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information
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2049.
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gistration
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Get active
and
learn
more
Get active
and and
learn
more
Get
active
and
learn
more
learn
more
Get
active
and
learn
more
about sports
clubs
in your
local
about sports
clubs
in
your
local
about
clubs
in
your
local
sports
clubs
in
your
local
about sports clubs
area in your local
area
areaarea
area
Tell
us about your experience
Sport-a-Month Feedback
Survey
www.surveymonkey.com/s/SAMparticipants
Sport-a-Month
Come
and
try
Come
and
try
Come
and
try
Come and try
pating club to Council can by accessed by you
Signature:
____________________________
e hoursSignature:
and
updated by writing
or contacting
Signature:
____________________________
____________________________
Signature:
____________________________
Name
(print):
____________________________
Name(print):
(print):
____________________________
Name
____________________________
Name (print):
____________________________
(Parent/guardian’s
signature
and
name
required
if participant
(Parent/guardian’ssignature
signatureand
andname
namerequired
requiredififparticipant
participant
is(Parent/guardian’s
under
1616
years
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age)
____________________________
is
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years
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(Parent/guardian’s
signature
and
name
required
if participant
is under 16 years of age)
is under
16 tick
years
of age)
Please
if you
would
bebesent
____________________________
Please
tick
you
wouldlike
liketo
sentaaamonthly
monthlySport-aSport-aPlease
tick
if ifyou
would
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totobe
sent
monthly
Sport-aMonth
brochure.
Month
brochure.
Please
tick if you would like to be sent a monthly Sport-aMonth
brochure.
signature
and
name required if participant
Month
brochure.
age)
u would like to be sent a monthly Sport-a-
Sport-a-Month
Sport-a-Month
Sport-a-Month
Sport-a-Month
Come and try
Aquaerobics
and AquaFit
For
more information
information contactCouncil’s
Council’s Recreation
For more
more
For
information contact
contact Council’sRecreation
Recreation
Officer
on
9335
2191
or
to
view
Sport-a-Month
For
moreon
Council’s
Recreation
Officer
9335
or
aaaSport-a-Month
Officer
oninformation
9335 2191
2191contact
or to
to view
view
Sport-a-Month
calendar
visit Council’s
Council’s
website
at:
website
at:
Officer calendar
on 9335 visit
2191
or to view
a Sport-a-Month
calendar
visit
Council’s
website
at:
calendar visit Council’s website at:
www.marrickville.nsw.gov.au/community/recreation
www.marrickville.nsw.gov.au/community/recreation
www.marrickville.nsw.gov.au/community/recreation
For more information
contact Council’s Recreation
www.marrickville.nsw.gov.au/community/recreation
Officer on 9335 2191 or to view a Sport-a-Month
calendar visit Council’s website at:
ForFREE
FREEinin
in
the
month
of
For
the
month
ofof
For
FREE
the
month
For FREE in the month of
January2012
2012
January
January
January 2012
2012
For FREE in the month of
www.marrickville.nsw.gov.au
www.marrickville.nsw.gov.au
www.marrickville.nsw.gov.au
www.marrickville.nsw.gov.au
January 2012
Fanny Durack Aquatic Centre
Here is your chance to try
Petersham Park Swimming Pool opened to the public in
September 1962. In 1999 it was renamed the ‘Fanny
Durack Aquatic Centre’ to honour the Olympic swimming
legend and champion of women's rights.
Aquaerobics / AquaFit
for FREE throughout January 2012 at
Here
is
your
chance
try martial
arts
Here
your
chance
to trytoBADMINTON
for
theisHere
Fanny
Durack
Aquatic
Centre
is your
chance
to try
FREE
throughout
August
2011
at
for
FREE
throughout
APRIL
2010
at
Here
is your
chance
to tryone
(Aquaerobics)
and
Annette
Kellerman
Marrickville
PCYC.
of
Marrickville’s
martial
arts
schools.
Aquaerobics
/ AquaFit
Aquatic
CentreAquaerobics
(AquaFit).
/ AquaFit
Simply
choose
which
ONE
session
you
would
choose
which
sessions
would
like
forSimply
FREE
throughout
January
2012
at2012
Simplyforchoose
which
sessionyou
(eg
AquaFit
FREE
throughout
January
like
to
attend,
call
Marrickville
PCYC
to
register
attend,
call
the
contact
number
listed
for
the at
thetoSession
Fanny
Durack
Aquatic
Centre
One)Fanny
you would
like to attend,
call the
the
Durack
Aquatic
Centre
your
name,
complete
the
registration
form
on
session
to bookand
and Annette
on
day
bring
a drink
contact number
listed
for the
the session
to register
(Aquaerobics)
Kellerman
(Aquaerobics)
and
Annette
Kellerman
the
back
of
this
brochure
and
then
hand
it
in
on
bottle,
comfortable
clothing and
your completed
and hand
your(AquaFit).
completed
registration
form in
Aquatic
Centre
Aquatic
Centre
(AquaFit).
registration
form.
the
Please
keep
in mind
that places are
onday.
the day.
Simply
(eg AquaFit
limited! choose
Simply which
choosesession
which session
(eg AquaFit
Come
and
try
martial
arts
with:
Session
One)
you
would
like
to
attend,
the call the
attend,
It’s thatSession
easy. One) you would like tocall
contact
listed
for
the
session
to
register
Come number
and
try
badminton
with:
contact number listed for the session to register
and hand and
yourhand
completed
registration
form in form in
your completed
registration
Martial Arts Academy
on ■
theAustralian
day.
on the day.
Ph: 9591 6614 or 0414 444 606
It’s that easy.
It’s that easy.
Email: [email protected]
Web: www.australianmartialarts.com.au
We get young people active in life
people to
develop their skills, character and
leadership
When: Every
Tuesday in April (6, 13, 20, 27) 2010
• 3-5yrs:
We reduce
4.00pm and prevent crime by and
against young people
6-8yrs: 4.00pm
•
Session
(Choose
• Times
We work
withOne):
young
9-12yrs: 6.00pm7pm - 8pm (adults)
Adult Sessions (Choose ONE Free Session
Where: Australian Martial Arts Academy
Only)
Studio 35, 142 Addison Rd
When:
Marrickville NSW 2204
Who:
Time:
Everyone welcome
Where:
.
Each Friday in August 2011
6:00pm – 7:00pm
Marrickville PCYC
Debbie and Abbey Borgia Centre
31 Illawarra Road
Marrickville NSW 2204
■ Marrickville Karate Club
Come andTraining
try ‘Aquaerobics/AquaFit’:
Bring:
Ph: 9558 5139 orshoes,
0414 appropriate
600 439
clothing and a water bottle.
Email: [email protected]
Aquaerobics
Web: www.LearnKarate.com.au
About
Badminton:
Come
and
try and
‘Aquaerobics/AquaFit’:
When:
Every
Wednesday in January
Come
try ‘Aquaerobics/AquaFit’:
’ Badminton
is9.30
similar
toFun
tennis.
The court
– 10.30am
Session 1: Karate
Fitness,
and Discipline for All
has
a net andFanny
players
use Aquatic
a racquet
to hit a
Where:
Durack
Centre
When: Thursday 8 and 22 April, 2010
Aquaerobics
‘shuttle’
to each
other. While
keepingStreet
you fit,
Aquaerobics
Petersham
Park, Station
5.45pmPetersham
(Under
12 2049
yrs)
NSW
Badminton
will- 6.45
finepm
tune
your
reflexes and
When:
Every
Wednesday
in January
Every
in January
Who:When:
Open
to
all.Wednesday
7pm
– 8pm
(adults)
keep
you
mentally
alert.
9.30To
– find
10.30am
9.30out
– 10.30am
more
and
register
call
Where: Tempe
Public
School,Aquatic Centre
Where:
Fanny
Durack
Where:
Fanny
Aquatic Centre
9565
1906 Durack
Did
you know
that
badminton
isSt,
also
world’s
Park,
Street
Unwins
Bridge
Rd &Station
Union
Tempe.
Park,
Station
Street
What: CnrPetersham
Tea Petersham
and
Coffee
will be
provided.
fastest
racquet
sport
with
the
shuttle
being
Petersham
NSW
2049
Petersham
NSW
2049
Who: Everyone welcome
Who:
Open
toOpen
all.
to– all.
hitAquaFit
at Who:
over(All
400km
per hour!
Welcome
Limited places)
To find out
more
register
call call
To find
outand
more
and register
9565
1906
9565
1906
Session
2:
Karate
Fitness,
Fun
and
Discipline
for Kids
When:
Session One:
and
Coffee
will
be
provided.
What: What:TeaFriday
andTea
Coffee
will
be
provided.
20April,
January
When: Monday
12 and 19
2010 2011
Coach
Hill Yuen
6.00 - 7.00pm
5.45pm
-continuing
6.45
pm
(Under
yrs)
Badminton
isSession
to–12
be
very places)
popular
AquaFit
(All
Welcome
Limited
AquaFit
(All
Welcome
– Two:
Limited
places)
with Inner
Sydney
sites. Active
7pmWest
– 8pm
(adults)
Friday
27 January
2011 After
When:
Session
One:
When:
Session
One:
Schools
coach,
Hill
Yuen,
has
more
than 33
–School,
7.00pm
Where: Tempe 6.00
Public
Friday
20 January
2011
Friday
20
January
2011
years’
experience
playing
and
coaching
Where:
Annette
Kellerman
Aquatic Centre
6.00 - Rd
7.00pm
Cnr6.00
Unwins
Bridge
& Union St, Tempe.
- 7.00pm
Enmore
Park, Black
Street
badminton.
Hill
first
started
playing
socially
Session
Two:
Session
Two:
Who: Everyone
welcome
Enmore
NSW
2042
with friends
then
trained
in
the
sport
in Hong
Friday
27
January
2011
27 January 2011
Who: Hill Friday
All Welcome
6.00
–
7.00pm
Kong.
enjoys
coaching
children
and
has
6.00To
– find
7.00pm
out more
and register
call
Where:
Annette
Kellerman
Aquatic
Session
3:
Karate
Fitness,
Fun
and
Discipline
for
All
a strong passion
for
passingAquatic
on hisCentreCentre
Where:
Annette
Kellerman
9565Enmore
1906 Park,
Black
Street
Enmore
Black
Street
badminton
knowledge
and
When: Wednesday
7Park,
and 21
Aprilskills.
2010
NSW
2042
EnmoreEnmore
NSW 2042
5.30pm – 6.30pm
(under 12 yrs)
Who:
All Welcome
Who:
All Welcome
To find out more and register call
7pm
To- 8pm
find(adults)
out more and register call
9565 1906
9565Hall,
1906
Where: Church
151-153 Constitution Road,
Dulwich Hill.
Who:
Everyone welcome
Session
4: Racquets
Karate
Fitness,
and
Discipline for All
Fanny
Durack
Aquatic
Centre
and Fun
shuttlecocks
Fanny
Durack
Aquatic
The name
change
was
suggested
to Council
by historian
Petersham
Park
Swimming
Pool
opened
to
theCentre
public
in
provided.
When:
Saturday
10Swimming
and 24 April,
said:
Petersham
Pool2010
opened
the public in
September
1962.Park
InMary
1999Haire,
it was who
renamed
the to
‘Fanny
September
In 1999 the
it was
renamed
the ‘Fanny
Durack Aquatic
Centre’
to honour
Olympic
2.00pm
–1962.
3.00pm
(under
12
yrs) swimming
Durack
Aquatic
Centre’
to women's
honour
therights.
Olympic swimming
To register:
Call:
(02)
9559
7722
legend
and
champion
of
"Fanny
spent
the
last
years
of
her
life
at
Douglas
legend
and champion
of women's rights. Street
3.00pm
– 4.00pm
(adults)
Stanmore
which
is very close
to Petersham Pool. And
Fanny
does
notwas
have
a pool named
after by
herhistorian
in Australia,
Church
Hall,
TheWhere:
name change
suggested
to Council
The
name changeShe
was suggested
to Council
historian
which
is scandalous.
for women
and by
their
rights.
Mary Haire,fought
who said:
Mary
who said:
Constitution
Road,
Women 151-153
were banned
fromHaire,
swimming
competitively. It was
considered immoral and immodest but she campaigned for
Hill.
"Fanny
spent
the
last
years
her life
atthe
Douglas
StreetStreet
years
to Dulwich
swimming
associations
It was
"Fanny
spent
the
last of
years
ofand
her
life authorities.
at Douglas
Stanmore
which
is
very very
close
to
Petersham
Pool. And
important."
which
is
very
close
to Petersham
Pool. And
Who:Stanmore
Everyone
welcome
Fanny does
have
pool anamed
after her
in her
Australia,
Fannynot
does
nota have
pool named
after
in Australia,
which iswhich
scandalous.
She fought
for women
and their
is scandalous.
She fought
for women
andrights.
their rights.
Annette
Kellerman
Aquatic
Centre
Women
were banned
from swimming
competitively.
It wasIt was
Women
were
banned
from
swimming
competitively.
considered
immoralimmoral
and immodest
butCentre
she
campaigned
for
The
Annette
Kellerman
at Enmore
Park for
considered
andAquatic
immodest
but
she
campaigned
yearshas
toyears
swimming
associations
the
authorities.
It was
been
into and
a new,
state-of-the-art
facility
to redeveloped
swimming
associations
and
the authorities.
It was
very
a 50 metre(Choose
pool,important."
learn-to-swim
and Session
leisure pools, a
very ONE
important."
Kidswith
Sessions
Free
café, multi-purpose room, Wellness Centre (including
Only)
fitness and gym facilities), and improved seating, changing
Annette
Kellerman
Aquatic
Centre
Annette
Kellerman
Aquatic
Centre
and administration
facilities.
The
Annette
Kellerman
Aquatic
Centre
at Enmore
Park Park
The
Annette
Kellerman
Aquatic
Centre
at Enmore
When:
Each Friday in August
2011
th
has It
been
redeveloped
into a new,
beenafter
redeveloped
into astate-of-the-art
new, state-of-the-art
ishas
named
Annette
Kellerman,
who in thefacility
earlyfacility
20
with
a 50
metre
pool,
learn-to-swim
and leisure
with a century
50
metre
pool,
and leisure
pools,
aHer a
was
onelearn-to-swim
the most
famous
women
alive.pools,
café,tomulti-purpose
room,
Wellness
(including
Time:
5:00pm
–one
6:00pm
café,
multi-purpose
room,
Wellness
CentreCentre
(including
journey
becoming
of the
world’s
highest
earning
fitness
and
gym
facilities),
andstage
improved
seating,
changing
fitness
and
gym
facilities),
and improved
seating,
changing
entertainers,
on
the
vaudeville
and in
silent
movies,
and administration
facilities.
and administration
facilities.
began
in
Silver
Street
Marrickville.
She
was
also
an
early
Where:
Marrickville PCYC
feminist and a popular role model for health and fitness
th
th
It is named
after Annette
Kellerman,
the 20
early 20
and
Abbey
Borgia
Centre
It is named
afterDebbie
Annette
Kellerman,
who
inwho
the in
early
century
was
one
the
most
famous
women
alive.
Her
century
was
one
the
most
famous
women
alive.
Her
To learn more
about the facility
and available programs
31
Illawarra
Road
journey
to becoming
of the world’s
highest
earning
journeyvisit:
to becoming
one of one
the Aquatic
world’s
highest
earning
Annette
Kellerman
Centre
website
at
Marrickville
NSW
2204
entertainers,
on
the
vaudeville
stage
in movies,
silent movies,
entertainers, on the vaudeville
stage and inand
silent
www.akac.com.au
began
in
Silver
Street
Marrickville.
She
was
also
an
began in Silver Street Marrickville. She was also an early early
and a popular
role model
for health
and fitness
feministfeminist
and a popular
role model
for health
and fitness
Who:
Ages 8 to 12 years
learnknow
more about
the facility
and available
programs
there
areavailable
more
than
five
you
To Did
learnTomore
about
the: facility
and
programs
visit: Training
Annette Kellerman
Aquatic
Centre website at
Bring:
shoes,
appropriate
visit:
Annette
Kellerman
Aquatic
Centre
website
at
martial arts organisations
operating in
www.akac.com.au
clothing
and a water bottle.
www.akac.com.au
Marrickville? Come along and try a class during
andmartial
shuttlecocks
April and Racquets
discover the
artist within! Visit
provided.
www.marrickville.nsw.gov.au for more
information.
To register: Call: (02) 9559 7722