Affiliation Package Page 3

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2016-2017 Annual
Region
Association
A liation Package
Declaration
1.
As authorised by the .................................................................................................. Swimming Region.
I acknowledge that acceptance of this application for membership to Swimming WA Inc., will
operate as an agreement binding upon the Region to abide by all the provisions of the Rules,
Regulations and Codes of Conduct and governing documents of Swimming WA Inc., and to
accept and enforce all its decisions and to be bound by the constitution, rules and by-laws (as
amended from time to time) of Swimming WA, Swimming Australia Limited and FINA.
2. I authorise Swimming WA Inc. to use and disclose to related and relevant bodies any of our
Region information that may be necessary to implement the rules, regulations and policies
referred to above.
3. I agree to have our Region name and contact details published in: o cial programmes,
newsletters and/or websites or other media material that Swimming WA publishes.
4. I have provided the information required and signed this form on behalf of my Region
Association. I warrant that all information provided is true and correct.
5. Swimming WA has a Privacy policy and that the information that I have provided is necessary
for the objectives of Swimming WA. I acknowledge and agree that the information will be
disclosed to my Region and Swimming WA and will only be used for the Objects of Swimming
WA and to provide our Region with membership services. By registering our members with
Swimming WA we are confirming that Swimming WA have written authority from the members
that they can use their details, publish stories and photos on the Swimming WA website.
6. If the required information is not provided our membership application may be rejected.
7.
I have read, understood, acknowledge and agree to the above declaration. I acknowledge that
if our application for membership is successful we will be entitled to all benefits, advantages,
privileges and services of Swimming WA membership.
Checklist
To ensure your application is processed quickly, please ensure the following information is attached
with your application for membership:
A liation Fee paid - Cheque/Money Order/Credit Card/Direct Deposit
All outstanding money owed to Swimming WA paid
All committee members are Members
Forms submitted
Recent annual report including financial attached
Policy Declaration Statement signed
*A Financial statement shall be provided in writing to the CEO at the time of a liation or within
3 months of close of the financial year. This can be undertaken by a competent and independent
person presenting an independent opinion by providing a written declaration on the Region’s
financial position for the preceding financial year.
Failure to forward this financial statement within the defined period shall result in the body’s
re-a liation being suspended, thereby negating rights and benefits to which it is entitled to
under the Constitution.
34
Swimming
WA
Club A liation Package 2016/17 Season

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