Coaches / Judges Observation Application

Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a current Technical Member*

YesNo
Technical ID Number

Course Type*
GymSport*
Course Level*
Course Date*

DayMonthYear
Date

Course Fees*

	Please Select Course Option
½ Day Beginner (1 UPD Point) $24.00
Full Day Beginner (3 UPD Points) $48.00
½ Day Intermediate (2 UPD Points) $48.00
1 Day Intermediate (4 UPD Points) $72.00
2 Days Intermediate (8 UPD Points) $121.00
½ Day Advanced (2 UPD Points) $48.00
1 Day Advanced (4 UPD Points) $72.00
2 Days Advanced (8 UPD Points) $121.00

Note:
• Course Confirmation Emails will be sent AFTER the close of entries, NOT on receipt of the application form.
• Observers are regarded as ‘non-active participants’

Payment Details:
- Payment must accompany application forms.
- All card payments will incur a 0.83% merchant fee.
- Direct Deposit Details - BSB: 014 278 A/C: 3912 742 86 (Reference is your last name/club and the course name e.g Watson ACR Int J)
- Tax Invoices are only issued on request and will be sent to your nominated email address.
Payment Amount*
Payment Method*
Card Type
Name on Card
Card Number
Expiry Date
CVV
Signature*

Clear
We collect, use and disclose personal information for the purpose of conducting and administrating events and activities, including for identifying participants, recording results and communicating with you, and for providing you with services or promotional material such as other events or other sponsor offers. We collect, use and disclose personal information in accordance with our privacy policy. We may share your information with third parties as required, including but not limited to disclosing your personal information to state gymnastic associations and clubs, for the purpose of administering our programs. Our privacy policy contains information about how to access and correct personal information held by us or how to make a complaint about the handling of personal information, as well as information regarding any overseas disclosures. Applications or services may be rejected if requested information is not provided. Opt-out procedures are available for individuals wishing to avoid receipt of promotional material. Our contact information and a copy of our privacy policy is available on our website at www.gymnastics.com.au
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