Affiliation Package printable pdf download

Affiliation Package

2016-2017 Annual

Region

Association

A liation Package

Swimming WA (SWA) is committed to ensuring all Region Associations are a liated at the start of the

2016/17 Season.

Swimming WA (SWA) is committed to ensuring all Region Associations are

a liated at the start of the 2016/17 Season.

If these documents are not returned to SWA, this could result in Regions failing to a liate for the

2016/17 season.

Name of Region

Current committee member details must be used when ﬁlling out this form

Our AGM is to be / was conducted on

/201_

Region Contact Details (for all enquiries)

Postal address of Region

Suburb

State

Postcode

Contact Phone Number

O ce Bearers – All persons listed on this form must be members of Swimming WA

President

Name: (Mr / Mrs / Ms / Miss)

Phone

Swimming WA Membership Number

Working with Children Check Clearance No.

Expiry

Vice President

Name: (Mr / Mrs / Ms / Miss)

Phone

Swimming WA Membership Number

Working with Children Check Clearance No.

Expiry

Secretary

Name: (Mr / Mrs / Ms / Miss)

Phone

Swimming WA Membership Number

Working with Children Check Clearance No.

Expiry

Swimming

Club A liation Package 2016/17 Season

Affiliation Package