Sports Voucher "*" indicates required fields Claim your Player Sports Voucher by completing the form below. Child’s Information Please enter one child per form submission. Child first name* Child surname* Child gender* Male Female Gender Diverse Child date of birth* DD slash MM slash YYYY How would you like to verify the sports voucher?* Medicare Number Australian Visa Number Medicare number* Medicare Number + Child Reference Number Eg: 01234567891Australian Visa Number* Parent InformationParent first name* Parent surname* Parent contact number* Parent email* Street Address* Note: The suburb can be entered here if you’re not comfortable with providing your addressSuburb* Postcode* HiddenUsed a voucher this calendar year? Yes No First time joining this organisation?* Yes No Identified as living with a disability?* Yes No HiddenCulturally and linguistically diverse background?* Yes No Aboriginal or Torres Strait Islander?* Yes No Is English the main language spoken at home? Yes No If no, what language do you speak at home?* Cost to register for this activity* Note: This is the total cost the parent must pay for the child to participate
