Auskick Rebate Form
This form is to be completed if you wish to receive the Auskick rebate from Waverley Park Hawks Junior Football Club. The rebate is only for players who are first time registrants with the club for junior football and who are also registered with an Auskick Centre. The club rebates the full cost of the Auskick fee.
Contact Details
Parent/Guardians Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Your E-mail Address
Auskick Details
Childs Name
*
First Name
Last Name
Name of Auskick Centre
*
Auskick Fee paid
*
Attach copy of Auskick receipt
*
Upload a File
Cancel
of
Bank Account Details
Funds will be transferred to this account once request has been approved
Account Name
*
BSB
*
Account Number
*
I certify
*
I confirm I am a parent and/or legal guardian of the player named in this form, that they are a first time registrant with Waverley Park Hawks Junior Football Club, and they are registered with an Auskick Centre for 2017. On this basis I hereby apply for the rebate from the Waverley Park Hawks.
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