2025 Club Registration Form

2025 CLUB REGISTRATION FORM
The registration system will ensure all FISAF Australia affiliated clubs have the following required standards in place:
- Australian Business Number (ABN)
- Public Liability Insurance
- Working with Children Checks
- Qualified First Aider
- Music Licence
The cost of the 2025 registration is $100.00 per club per annual year. This cost covers 1 x coach membership, as well as free access to use the 2025 music uploader account.

Club registrations for 2025 are now OPEN!
Club registrations for 2025 must be completed prior to 9AM Monday 20th January 2025.

IMPORTANT:
- The cost for late club registrations purchased from 9 AM Monday 20th January 2025 will be charged at $145.00 per club per annual year
- Event entries cannot be submitted until your club registration has been complete
- Club members will not be able to select their particular club from the drop-down box when completing their individual memberships until club registration has been complete.

BUSINESS DETAILS
Business Name*
Please provide your official Registered Club Name.
Business ABN*
Business Address*

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Business Website*
If your business does not have a wesbite, please provide your Facebook or Instagram URL in this box.
Facebook URL
Instagram URL
Club Logo Image Upload

Your logo may be used for marketing & development purposes
Cancelof
Business Public Liability Insurance/Certificate of Currency*

Cancelof
Music Licence*

CONTACT DETAILS (STUDIO OWNER DETAILS)
Coach/Coordinator Name*

First NameLast Name
Contact Gender*
Contact Date of Birth*

DayMonthYear
Date
Contact E-mail*
example@example.com
Contact Mobile Number*
Please enter a valid phone number.
Contact Home Address*

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Contact First Aid Cert*

Cancelof
Contact Working With Children*

Cancelof
Photo ID*

Cancelof

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

First NameLast Name
Signature*
Date*

DayMonthYear
Date

REGISTRATION PAYMENT DETAILS

2025 Club Registration $100.00 for each year (Inc. GST)

$90.91AUD

Enter coupon

Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD

BILLING 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 CodeCountry
SHIP TO A DIFFERENT ADDRESS?*
SHIPPING ADDRESS
Country
Full name

First NameLast Name
Company Name
E-mail Address
example@example.com
Address

Street Address

Street Address Line 2

Town / CityState / County

Postal / Zip Code
Mobile Number
Please enter a valid phone number.
Should be Empty: