EmailMe Form - 2018-19 Club Affiliation Form

2018-19 Club Affiliation Form

Affiliation fee for 1 April 2018-31 March 2019 is $209. Payment is now due.

Pay by cheque:
Cheques should be made out to Swimming NSW Ltd and mailed to PO Box 571, Sydney Markets NSW 2129

Pay by EFT:
Account Name: Swimming NSW Ltd
BSB: 062172
Account Number: 10283026
Reference Field: use your affiliation invoice number (e.g. 00001692)

Pay by credit card:
Call the Swimming NSW office to pay over the phone (02 9763 5833)

Affiliation payment must be returned to Swimming NSW Ltd by 30 April 2018. Ideally, this affiliation form is to be completed at the same time as payment.

All committee members must be registered members of your club and Swimming NSW in order for your affiliation to be processed.

Swimming NSW may share information from this form to your area.

What club are you from? *

What area does your club belong to? *
Club Mailing Address *

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

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Club Headquarters *
Name of your club pool
Pool Length *
25m
33m
50m
Other
Is your pool *
Indoor
Outdoor
Both
Do you have pool owner/administrator approval for use of the facility for training and competition? *
Yes
No
Club Colours *
Club Website Address
Our AGM is to be /was conducted on
MM / YY
Public Contact Email Address *
This address will be published on the Swimming NSW website so the public can contact you with inquiries.
Communications Email Address *
This is the email address Swimming NSW will primarily use to communicate with your club.
Have you completed a Club Health Check (CHC) in the last year? *
Yes
No
Clubs need to complete a CHC once every two years. If you have not completed a CHC during the 2017-2018 season you will need to complete one now. Go to this link to complete your CHC:

http://www.qlbs.com.au/ASCHealthCheck/Assessment/SwimHealthCheck
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