Sports Voucher Claim 2025

Sports Voucher Claim 2025
Complete and submit this form to claim your child's 2025 Sports Voucher(s) to reduce the cost of membership fees for Nippers at West Beach SLSC.

Each child in Reception to Year 9 is eligible for two vouchers, each worth $100.

Not sure if your child has used their vouchers this year? Check on the SA Government Sports Voucher Plus website by entering their Medicare number.
Child's Name*

Child's first nameChild's surname / family name
Child's Gender*
Male / Female / Gender Diverse
Child's Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postcode
Child's Medicare number (including reference number)*
Australian visa number
Only required if your child does not have a Medicare number
Parent Name*

Parent first nameParent surname / family name
Parent mobile*
Parent email*
Is this the first time your child is joining Nippers at West Beach SLSC?*

YesNo
Has your child been identified as living with a disability?*

YesNo
Is your child from an Aboriginal or Torres Strait Islander background?*

YesNo
Is English the main language spoken at home?*

YesNo
What language do you speak at home?*
What is the full cost to register your child for Nippers?*
I wish to claim:*

1 x $100 voucher2 x 100 vouchers
In submitting this form I give permission to West Beach SLSC to share my information with the Office for Recreation, Sport and Racing (ORSR). The ORSR may share information to the Commonwealth Government for the purpose of validating the identity of a child with Medicare and with third parties (including research institutions or organisations) to improve the administration, outcomes or effectiveness of the program.
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