2025 FISAF Australia Individual Membership Form

2025 INDIVIDUAL MEMBERSHIPS
Individual memberships will open 9AM Friday 24th January 2025.
Individual memberships must be completed prior to Sunday 9th March 2025.

Individual memberships must be completed by the following people:
- Athletes - $55.00 Per Person
  - When competing in:
    
    Elementary Stream
    
    National Stream
    
    International Stream
- Coaches
  - Club coaches - $55.00 Per Person
  - School coaches (contractors & volunteers) - $55.00 Per Person
  - School Employees (teachers, staff & principles) - FREE
Please Note: Individuals who have multiple roles within the sport do not need to purchase multiple memberships - 1 membership per year per person.

Please register for your highest ranking role as per order below:
- CLUB COACHES
  - SCHOOL COACHES (contractors & volunteers)
    
    ATHLETES
    
    SCHOOL EMPLOYEES (teachers, staff & principals)
- For Example:
  - An athlete, who also coaches at their local club &/or school, only needs to purchase 1 individual membership. They would select a Club Coach Membership
  - A coach who is contracted through a club to coach at 1 or more schools, only needs to purchase 1 individual membership. They would select a School Coach Membership
  - A School employee, who also coaches &/or competes at their local club, only needs to purchase 1 individual membership. They would select either a Club Coach Membership OR Athlete Membership (depending on highest role)
  - A School employee who only coaches at their school, only needs to purchase 1 individual membership. They would select a School Employee Membership.
IMPORTANT:
- One (1) form submission must be completed PER PERSON PER YEAR
  - If you have additional children competing, you will need to complete additional forms for each additional athlete.
- Late Membership Submissions: Memberships purchased from Monday 10th March 2025 will be $95.00 per individual per annual year
- Individuals will not be eligible to be entered in any events until memberships have been completed
- Clubs/Schools will only appear in the affiliation dropdown list, once they have completed their Club/School Registration
- Athletes, coaches & judges must represent a club/school which is located within the State in which they reside.

MEMBERSHIP SELECTION
Select Membership Type*

Athlete MembershipCoach Membership

ATHLETE INFORMATION
Athlete Full name*

First NameLast Name
Athlete Gender*
Athlete Date of Birth*

DayMonthYear
Date
TODAYS DATE

DayMonthYear
Date
AGE CALCULATION
Athlete Phone*
Please enter a valid phone number.
Athlete Email*
example@example.com
COACH INFORMATION
Coach Role*

CLUB COACHCONTRACTED SCHOOL COACH (Contractors & Volunteers)SCHOOL EMPLOYEE (Teachers, full-time staff, principals)
Coach Full name*

First NameLast Name
SCHOOL REGISTRATION/EMPLOYEE NUMBER*
Coach Gender*
Coach Date of Birth*

DayMonthYear
Date
Coach Phone*
Please enter a valid phone number.
Coach Email Address*
example@example.com
TODAYS DATE

DayMonthYear
Date
AGE CALCULATION
PARENT / GUARDIAN INFORMATION
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Gender*
Parent/Guardian Date of Birth*

DayMonthYear
Date
Parent/Guardian Phone*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com

RESIDENTIAL DETAILS
Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
State of Residence*

CLUB/SCHOOL AFFILIATION

Who will you/your child be representing at competitions:
Select your Club/School affiliation - VICTORIA:*
Clubs will only appear in dropdown menu once their registration has been confirmed & processed.
Select your Club/School affiliation - NEW SOUTH WALES:*
Clubs will only appear in dropdown menu once their registration has been confirmed & processed.
Select your Club/School affiliation - SOUTH AUSTRALIA:*
Clubs will only appear in dropdown menu once their registration has been confirmed & processed.
Select your Club/School affiliation - QUEENSLAND:*
Schools will only appear in dropdown menu once their registration has been confirmed & processed.
Notes:
If you are affiliated with another Club & OR School/s program, please provide these details.

PARTICIPATION AGREEMENTS

Please carefully read the 2025 Policy Document & Participation Waiver documents below:
First Aid Certificate

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Working With Children*

School Coaches Only: If you do not possess this document/card, please upload your School I.D/Employee Card
Cancelof
Photo for ID*

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Please carefully read the 2025 Policy Documents linked below:
Name*

First NameLast Name
Signature*
Date*

DayMonthYear
Date

MEMBERSHIP PAYMENT DETAILS

Membership Selection: *

Athlete Membership$95.00 per person per year (Inc. GST)

$95.00AUD

Club Coach & School Coach (Contractor/Volunteer) Membership Product Image

Club Coach & School Coach (Contractor/Volunteer) Membership$95.00 per person per year (Inc. GST)

$95.00AUD

School Employee Membership Product Image

School Employee MembershipFor use by teachers, full-time staff members & or principals ONLY.

$ FreeAUD

Enter coupon

Total

$0.00AUD

BILLING ADDRESS
Country*
Full name*

First NameLast Name
Company Name
E-mail Address*
example@example.com
Phone
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
SHIP TO A DIFFERENT ADDRESS?*
SHIPPING ADDRESS
Country*
Full name*

First NameLast Name
Company Name
E-mail Address*
example@example.com
Mobile Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Should be Empty:

2025 INDIVIDUAL MEMBERSHIPS

MEMBERSHIP SELECTION

ATHLETE INFORMATION

COACH INFORMATION

PARENT / GUARDIAN INFORMATION

RESIDENTIAL DETAILS

CLUB/SCHOOL AFFILIATION

PARTICIPATION AGREEMENTS

MEMBERSHIP PAYMENT DETAILS

BILLING ADDRESS

SHIPPING ADDRESS