Sanction Application Form
2024
Name of Club / Association:
*
Contact Person
*
First Name
Last Name
Role within club:
*
Phone Number
Please enter a valid phone number.
Mobile Number
*
Please enter a valid phone number.
Email
*
example@example.com
Event/Program/Competition Type
*
Age of participants:
*
Event/Program/Competition Name:
*
Complete for each Event/Competition at the venue
Event/Program/Competition Name:
Complete for each Event/Competition at the venue
Event/Program/Competition Name:
Complete for each Event/Competition at the venue
Are all participants registered VSA members?
*
Yes
No
First Date of event
*
-
Month
-
Day
Year
Date
Last Date of event
*
-
Month
-
Day
Year
Date
Will this be an ongoing, seasonal competition?
Yes
No
Venue
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Day Contact
*
First Name
Last Name
Event Day Contact Mobile Number:
*
Please enter a valid phone number.
Do you require VSA assistance to run the event/competition?
*
Yes
No
If Yes, please provide details (please note: VSA staff assistance may come at a cost)
Additional event information:
*
Does the event planning include risk management?
*
Yes
No
Do all staff hold a current WWCC? (Select one option below)
*
Yes
No
In progress
Does your event meet the following criteria?
*
Post pads on all poles
Safe playing area
Appropriate run off (min 3m each side)
All electrical tagged and tested
Risk Assessment completed
Does your event meet the following medical requirements?
Trained First Aid officer
First Aid Kit
Ice
Emergency contacts
I/we acknowledge we will:
*
Display VSA logo on all marketing materials
Comply with VSA policies.
Use the VSA incident report form (if applicable)
Comply with FIVB rules
Comply with program Rules and Regulations set by VSA
Please upload any supporting documents?
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