Shuttle Smash Provider Application

Shuttle Smash Program Provider Application

Please use this form to apply to be recognised as a Shuttle Smash Provider.
Name of Person completing this form*

First NameLast Name
Phone Number*
Email Address*
example@example.com
Name of Organisation you represent -or- your name if not running as part of an organisation*
State/Territory of your organisation*

ACTNSWNTQLDSATASVICWA
Is your organisation an .....*

Affiliated Badminton Association or Club with your State / Territory Badminton organisationNon Affiliated Badminton ClubCommunity Sport and Recreation OrganisationYou are an individualOther
Are you seeking funding support for this program?*

No, we have funding from another sourceNo, we are offering a fee for service programYes, we are seeking a funding subsidy from Badminton AustraliaOther
What is the primary group you will be targeting (you can only choose 1 group that must comprise at least 50% of participants):*

Remote/RegionalPhysical DisabilityIntellectual DisabilityFemale (group must be at least 50% female)Recent migrantsAboriginal or Torres Strait Islander peoplesDeaf or Hard of Hearing
What are you seeking a subsidy for?*

Leader Subsidy Only (at a rate of $40 p/hour)Program Registration Fee Subsidy Only ($399 program registration including equipment)Both - Leader and Program Registration Fee Subsidy
What is the length of your program? Please include how many sessions and how many hours. For example will you be running a Term Program, a School Holiday program and/or a Come & Try session?
What is the name of the person who will take on the role as Shuttle Smash Program Co-ordinator (this is the person who will promote the program, book the venue, organise participant bookings and organise leaders to deliver the program)?*
Shuttle Smash Program Co-ordinator email address?*
Shuttle Smash Program Co-ordinator phone number?*
The program will be run:*

Indoors (indoor shuttles can be used)Outdoors (undercover - outdoor shuttles can be used)Outdoors (Open air - outdoor shuttles can be used)
What is the name and address of the venue where this will be held?*
What are the dates and times for each of the sessions?*
Do you know who will be the nominated Shuttle Smash Leader (the person who leads the sessions, this could be the same person as the coordinator)?*

YesNo, but I have someone in mindNo, I would like some guidance
Will you have other leaders other than the main Shuttle Smash Leader?*
How many participants will you be aiming to have attend?*
Which age group are you planning to run programs for? (Junior and Shuttle Smashers should be run seperatley)*

Junior Smashers (5-8 year olds)Shuttle Smashers (9-12 year olds)Both
Shuttle Smash Program Providers may be eligible for a small rebate for running the program? (This will be paid quarterly). Please provide the bank account name, BSB & Account number you would like the fee to go.
If approved by Badminton Australia to run this program I and my organisation agree to (tick each box)*

Follow all Badminton Australia rules, regulations, policies and proceduresAgree that the Shuttle Smash Co-ordinator and Shuttle Smash leaders possess a Working With Children Check (or equivalent) for the State where the event is delivered and register Working with Children Checks with Badminton Australia as requiredRecord all participants as required by Badminton Australia and/or State/Territory RequirementsUse the Shuttle Smash promotional materialsFollow the Badminton Australia Sport Integrity PoliciesRequire all Leaders to complete the Badminton Australia Shuttle Smash online training requrementsRequire Badminton leaders to deliver the program in line with the Shuttle Smash lesson plan objectives.
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