Sports Voucher

Sport Voucher Redemption Form

Submitting this form is equivalent to submitting a hardcopy version and can not be reversed. By submitting this online form, you are requesting that your child's 2020 Sports Voucher be allocated to The Valleys Jr Squash program. Only use this form if your child:

has an active gymnastic enrolment with the YMCA
is in primary school (reception - year 7)
has not used the 2020 Sport Voucher with another provider

Child Details

Child First Name

Child Surname

Child Gender

Male

Female

Child Date of Birth

Must be Primary School age to be eligible (DD/MM/YYYY)

Child Suburb

Child Postcode

Child Australia Visa Number

Only required if child does not have a Medicare number

Medicare Number

10 digits

Medicare Childs Reference Number

Single digit after child's name on card

Parent/Guardian Details

Parent/Guardian First Name

Parent/Guardian Surname

Parent/Guardian Phone Number

Have you already claimed your 2019 Sport Voucher?

Yes

You can only claim one Sport Voucher per child per calendar year

Is your child already enrolled in the program?

Yes

Your child must be enrolled to claim. First enrol in the program, then submit this form.

Is your child in school (reception - year 7)?

Yes

The SA government has restricted Sport Vouchers to children of Primary School age

Terms & Conditions

By submitting this form I confirm my child's Sport Voucher has not yet been used this calendar year and qualifies for the Sport Voucher initiative (Reception to Year 7). I also understand that it may take up to 15 business days for the Sport Voucher credit to be applied to my account. Credit will automatically be used to pay for future YMCA programming debits and is non-refundable.

I agree/understand