CF Sports Application Form

CF SPORTS APPLICATION FORM
The cost of taking part in individual or team sports is constantly increasing. Yet keeping physically active is important to maintaining your physical and mental health and well-being. CFT wants to help you, or your loved one, with the costs of participating in some type of organised sporting activity. This can be something like gymnastics, learning to swim, playing a team sport like soccer or netball, horse riding lessons and much more. If you are unsure about whether your chosen activity is covered, please contact us.

Eligibility:
- Membership of CFT must be current;
- Available to all adults and children with CF.
Entitlement:
- Up to $300 each calendar year per member.
- We can reimburse you or pay the invoice directly. Whatever works best for you.
Process:

1. Complete this online form;

2. Let us know if you have paid the invoice, or you would like us to pay it. We will just need proof of registration/payment with the name of the person claiming it.

3. CFT reserves the right not to fund requests for items not aligned with the intent of the CF Sports policy. A copy of the policy can be found here.

5. CFT will endeavour to process your application within 7-10 days (subject to staff availability).
Name of CFSports recipient *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Post Code
Email*

Confirmation Emailexample@example.com
Mobile Number*
Please let us know what you need from us: *
Details of person completing this form (if different from above)

Name

Street Address Line 2

Relationship

Mobile Number
We would love to know more about the sports that has been chosen. How long have you been playing this (or is it a new one), how do you think it helps you, what do you love about it? *
DETAILS OF SPORTS REGISTRATION*
Please upload a photo of any receipts if you have asked for a reimbursement.

Cancelof
BANK ACCOUNT DETAILS

Please provide the bank account details for any reimbursements.
BSB
Account Number
Bank account holder
Name
DECLARATION

I declare that all information I have provided to Cystic Fibrosis Tasmania is true and accurate. I understand if it is found that I have knowingly provided false or inaccurate information I may no longer be eligible to be a member, or receive any or all of the services and benefits provided by Cystic Fibrosis Tasmania.
E-Signature Name*
Date*

DayMonthYear
Date
Should be Empty:

CF SPORTS APPLICATION FORM

BANK ACCOUNT DETAILS