MBUSC Sport Voucher Claim Form
The Sports Vouchers program is a Government of South Australia initiative administered by the Office for Recreation, Sport and Racing. The program provides an opportunity for children from Reception to Year 9 to receive up to a $100 discount on sport, dance and learn to swim fees. All South Australian children in Reception to Year 9 are eligible from 1 January 2022. This means if a child is 5 (or becoming 5 in the calendar year) to 15 years old are eligible. Remember it is one voucher for each eligible child per calendar year.
Date of Birth
Medicare Number or Australian Visa Number
This is an 10 digit number.
Medicare Reference Number
Parent/Guardian's Contact Number
Parent/Guardian's Email Address
An email address of the parent or guardian to inform them when the Sports Voucher has been processed.
Has the child used a Sports Voucher this calendar year?
Is this the first time the child is joining Soccer or Mount Barker United Soccer Club?
Has the child been identified as living with a disability?
Is the child from a Culturally and Linguistically diverse background (CALD)? e.g. Specific cultural or linguistic affiliation by virtue of their place of birth, ancestry, ethnic origin, religion, preferred language, language(s) spoken at home, or because of their parents’ identification on a similar basis.
Is the child identified as being an Aboriginal or Torres Strait Islander?
Should be Empty: