Government Sports Voucher Online Claim Form

Eastern Mavericks District Basketball Club

Government Sports Voucher Online Claim Form:

This online form is for parents, guardians, or caregivers to claim a government-issued sports voucher that helps cover the cost of participating in basketball programs offered by the Eastern Mavericks District Basketball Club.
The voucher can be used to reduce fees associated with registration or membership for eligible children and young people.

Please ensure you have all required information ready before starting your claim, including proof of eligibility, child’s details, and provider information. Claims must be submitted within the specified program dates.

Contact email*

Response date*

I can confirm I have not made a claim for the Sports Voucher this calendar year.*

What voucher amount would you like to apply for?*

First Name (Player)*

Last Name (Player)*

Enter your date of birth*

Gender*

Is this the first time your child has joined this activity provider?*

What is the cost to participate in this activity?*

Has your child been identified as living with a disability?*

Is English the main language spoken at home?*

Is your child from an Aboriginal or Torres Strait Islander background?*

Medicare number*

(10 digits)

Enter child's Medicare reference number*

(Single digit)

OR Australian visa number*

(N/A if not applicable)

Parent/Guardian First Name*

Parent/Guardian Last Name*

Street Address*

Suburb*

Postcode*

Parent/Guardian Contact Number*

Parent/Guardian Email*

Voucher is being claimed for, select from the following*

By submitting this voucher, I authorise Eastern Mavericks Basketball Club to share my child's information with the Office for Recreation, Sport and Racing.*

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