New Affiliate Expression of Interest
Upon the completion of this form, a Member Services Coordinator will be in contact within 3-5 business days. Before completing, please note as per NSWTA By Laws, new Affiliate applications will need to be reviewed if the geographic location falls within 5km of an existing Affiliate unless extenuating circumstances exist.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
E-mail
*
example@example.com
Proposed Affiliate Name
Proposed venue for Affiliate competition
Proposed division/s intending to run?
*
Junior Male
Junior Female
Junior Mixed
Adult Male
Adult Female
Adult Mixed
Unsure
Have you been involved with touch football previously, and if so, in what capacity?
*
Submit
Should be Empty: