TSS EVENT SANCTIONING APPLICATION

SPORT START APPLICATION FORM

Ages 5-18 years: please refer to website for T's and C's
CHILD'S DETAILS *

First NameMiddle NameLast Name
DATE OF BIRTH*

MonthDayYear
Date
SPORT OF CHOICE

NB: Please note that if more than one sport is chosen, this would count as a multi-sport/double application and you wont be able to apply again until 01 January next year
FIRST SPORT OF CHOICE
If your Sport of Choice is not listed here, let us know so that we can add it.
FIRST SPORT - Season Duration

Term 1Term 2Term 3Term 4
If 'other', please specify start and end dates of the season
Amount applied for (if not maximum permitted)
SECOND SPORT OF CHOICE
If your Sport of Choice is not listed here, let us know so that we can add it.
SECOND SPORT - Season Duration

Term 1Term 2Term 3Term 4
If 'other', please specify start and end dates of the season
Amount applied for (if not maximum permitted)
PARENT/GUARDIAN DETAILS*

First NameLast Name
RELATIONSHIP TO CHILD*
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
REGISTERED PROVIDER DETAILS
Name of registered provider (club/school/organisation). If your organisation is not listed here, please contact Sport Tasman. (It's an easy process to register as a Sport Start provider - you can register online at www.sporttasman.org.nz)
Name of Liaison Person at that organisation
*If, as Liaison Person, you are completing this form 'on behalf of' a family, please confirm permission to sign on their behalf by ticking the box below

I have obtained permission to complete and sign 'on behalf of' the carer/parent
UPLOAD A COPY OF YOUR COMMUNITY SERVICES CARD

Community Services Card MUST be current at the time of submission. Please upload a photo of the front of the card ensuring the 11 numbers above your name are clearly visible. If you do not have access to the physical card, an upload of a screenshot from your WINZ account showing card number and expiry date is acceptable. A card in the name of the child or the guardian is acceptable.
COMMUNITY SERVICES CARD NUMBER (the 11-digit number ABOVE your name)
Please enter a valid number.
Upload *

Cancelof
Electronic Signature of parent/guardian (or the liaison person) from the appropriate organisation)*

Clear
Should be Empty:

SPORT START APPLICATION FORM

SPORT OF CHOICE

REGISTERED PROVIDER DETAILS

UPLOAD A COPY OF YOUR COMMUNITY SERVICES CARD