Table Tennis NSW Inc
2017 Registration Form & Tax Invoice
(This form is to be used for New Registrations and Updating Current Registration Details)
SECTION A: PLAYERS DETAILS
Items shown in BOLD are mandatory items for registration. Items underlined are highly recommended
Family Name: ______Given Names: ______
Preferred Name: ______
Gender: Male / Female Date of Birth: ______
TTNSW Number: ______Affiliated Club/Association: ______
Postal Address: ______
City/Town: ______Postcode: ______
Phone (H) ______(W) ______(Mob) ______
Email: ______
If an email address is provided correspondence will be forwarded by e-mail unless otherwise indicated.
SECTION B: DISABILITY STATEMENT: (if applicable)
Do you have a disability? Yes / No
Class:
Description:
SECTION C: REGISTRATION LEVEL
(circle correct category or cross out incorrect categories)
1 NATIONAL $80.00
2 COMPETITION $60.00
3 SOCIAL $10.00
AMOUNT PAID: $ ______
Note: A $20 discount on Competition Level fees applies to Juniors, Pensioners and Officials.
See the definitions on the next page.
I agree to abide by the Constitution and By-Laws of Table Tennis NSW Inc and the rules governing the Code of Conduct for the Association. Please check website www.ttnsw.org.au
Signature of applicant: ______Date: ______
Persons registered at Levels 1 or 2 will be placed on the Mailing List toreceive all communication from the TTNSW office, which will include Tournament Entry Forms. If you do not wish to receive mailings, please indicate below by crossing out the appropriate option
I DO / DO NOT wish to be included on the TTNSW mailing list.
REGISTRATION LEVEL DETAILS
National Level / $80.00Who / Any person who resides within NSW and plays or officiates at National or International Level events.
Benefits / Access to coaching and umpiring courses, National and International Tournaments and discounted equipment.
Competition Level / $60.00
Who / Any person who resides within NSW and competes in Tournaments, City vs Country, Country Championships, coaching sessions, State Pennants, Quinlan Shield and local Teams Pennants.
Benefits / Persons registered at this level have access to Coaching and Umpiring Courses when available as well as being able to participate in any TTNSW Open or Closed Tournament as well as participating in Open Tournaments from other associations.
Social Level / $10.00
Who:
Metropolitan Sydney
Any person who only plays in their local Teams Pennant and / or Association's Closed Championships, gets coached or plays casually. This must be restricted to one club / venue within 5Km or under such other conditions as determined by the TTNSW Council from time to time.
e.g. If you only play at the Austral-Korean Association, then you can register as Social. If you play at AKT and you play in Tournaments organised by TTNSW or other affiliated associations, then you must be registered at the Competition Level. If you play the St George and Sutherland Shire Teams Pennant, then you must be registered at Competition Level.
Country NSW
Any person who only plays in their local competitions or against other country associations within a 300Km radius or under such other conditions as determined by the TTNSW Council from time to time.
Benefits / Persons registered at this level may only participate only in their local Teams Pennant or Association's Closed Championships.
Please make your cheque/money order payable to TTNSW or direct deposit into the account below:
BANK / COMMONWEALTH BANK, ULLADULLA NSWBSB / 062 646
ACCOUNT NUMBER / 1003 4653
ACCOUNT NAME / TABLE TENNIS NSW
Reference / "TTNSW Number" and "Rego".
Definitions
A Junior is any person who is under 18 at 31 December 2017.
A Pensioner is any person who receives a Commonwealth Government Pension payment.
An Official is any person who is an administrator that does not play.
Postal: / PO Box 6952 Silverwater NSW 2128Office: / Quad 1, Level 2, 8 Parkview Drive, Sydney Olympic Park, NSW 2127
/ Phone: / 02 8736 1266
Fax: / 02 8736 1267
E-mail: /
Website: / www.ttnsw.org.au
ABN: / 73 959 528 443