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
Early registration for the 2025 season is $100.00 per club per year. This price is for registrations submitted up until 9AM on 20th January 2025. After this time, club registrations will be $145/year.

Registrations include 1 x coach membership, as well as free access to use the 2025 music uploader account.

IMPORTANT:
- 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:
Please note that policies may be updated at any given time. The latest versions are available on our website here https://fisafaustralia.com.au/documents/.
Name*

First NameLast Name
Signature*
Date*

DayMonthYear
Date

REGISTRATION PAYMENT DETAILS

2025 Club Registration $145.00 per year (Inc. GST)

$131.82AUD

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: