Sanction Application Form

Name of Club / Association:

Contact Person for event, program or competition

First NameLast Name

Mobile Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Role within club:

Event/Program/Competition Name:

Complete for each Event/Competition at the venue

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

Are all participants registered VSA members? A member of the VSA team will contact you 7 days prior to the start of the event, program or competition to obtain a complete list of participants for verification. At minimum, participants must hold a Social Membership with VSA.

If available, upload complete participant list here

Are you sanctioning multiple events, programs or competitions?

If you are sanctioning multiple events, programs or competitions, please list the dates for all below.

First Date of event, program or competition

Date

Last Date of event, program or competition

Date

Venue/s

Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Contact for event, program or competition

First NameLast Name

Primary Contact Mobile Number:

Please enter a valid phone number.Format: (000) 000-0000.

Do you require VSA assistance to run the event, program or competition?

If Yes, please provide details (please note: VSA staff assistance may come at a cost)

Any additional event information:

Does the event planning include risk management?

Do all staff and volunteers aged 14 years and older hold a current Working With Children Check (WWCC)? A valid WWCC is a legal requirement under South Australian law for anyone working or volunteering with children. Clubs must ensure that no event, program, or competition proceeds without current WWCCs recorded in their database for each staff member and volunteer.

Does your event, program or competition meet the following criteria?

Does your event, program or competition meet the following medical requirements?

I/we acknowledge we will:

Working With Children Check Information

VSA Incident Report Form

FIVB Rules

VSA Policies

Please upload supporting documents including your risk management plan