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? 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.
*
Yes
No
First Date of event, program or competition
*
-
Month
-
Day
Year
Date
Last Date of event, program or competition
*
-
Month
-
Day
Year
Date
Will this be an ongoing, seasonal event, program or competition?
Yes
No
Venue
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact for event, program or competition
*
First Name
Last Name
Primary Contact Mobile Number:
*
Please enter a valid phone number.
Do you require VSA assistance to run the event, program or 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 and volunteers aged 14 and older hold a current Working With Children Check (WWCC)? (Select one option below). A WWCC is a legal requirement under South Australian law for individuals working or volunteering with children.
*
Yes
No
In progress
Does your event, program or competition meet the following criteria?
*
Appropriate and safe equipment
Safe playing area
Appropriate run off (min 3m each side)
All electrical tagged and tested
Risk Assessment completed
Does your event, program or competition 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
Working With Children Check Information
VSA Incident Report Form
FIVB Rules
Please upload any supporting documents?
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