Shuttle Smash Provider Application

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    Provider Application

    Please complete this form to apply for recognition as an official Shuttle Smash Provider.

     

  • Provider Registration

  • Organisation Type:*

  • Program Details

    WHO WHAT WHEN WHERE
  • State/Territory where you will deliver programs (select all the apply):*
  • State/Territory of your organisation*
  • Are you seeking funding support for this program?*
  • If applicable, select the primary group you expect to engage (aim for at least 50% of participants to fall within this group):*
  • Are there any secondary groups your program will also seek to engage? (select all the apply):*
  • Which age group will your programs be for?*
  • What are you seeking a subsidy for?*
  • The program will be run:*
  • Program Start Date:
     - -
  • Program End Date (if ongoing leave blank):
     - -

  • Shuttle Smash Personnel

    Organisers & Leaders
  • Will you be the main point of contact for this registered Shuttle Smash program? This is typically the person who books the venue, promotes the program, organises registrations and coordinates Leaders to deliver sessions.
  • Do you know who the Shuttle Smash Leaders will be? These are the people delivering the program and can be the same contact as above.*
  • If YES, have you instructed them to complete the Shuttle Smash Leader training?

  • Terms and Conditions

  • If approved by Badminton Australia to run this program I and my organisation agree to the following (tick each box):*
  • Should be Empty: