Claim your $100
One voucher each calendar year for children in Reception to Year 9
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I confirm my child has not already claimed a voucher in 2024 *
Required
CHILD'S INFORMATION
First Name : *
Family Name : *
Child date of birth : *
MM
/
DD
/
YYYY
Gender *
Required
Is this the first time your child has joined this organisation? *
Required
Has your child be identified as living with a disability? *
Required
Is English the main language spoken at home? *
Required
If no, what language do you speak at home?
Is your child from an Aboriginal or Torrens Strait Islander background? *
Required
MEDICARE INFORMATION
You must complete either the Medicare information or Australian Visa for your application to be valid.
Medicare number
Medicare Reference number
OR
Complete either the Medicare section above or Australian Visa below.
Australian visa number :
PARENT/GUARDIAN INFORMATION
First Name : *
Family Name : *
Street Address : *
Postcode : *
Contact number : *
Email :  *
This information has been sent to Girl Guides SA Inc. An email notification will be sent to the above email address (assuming it is correct) advising the authorisation of the voucher used for your child. This process will be commencing as of 1 January 2024.
To be presented at an approved Sports Voucher provider. To find your nearest provider or for more information please visit www.sportsvouchers.sa.gov.au. Not redeemable for cash, only a reduction to membership/registration fees. Redemption value not to exceed $100. In presenting this voucher I give permission to the Sports Voucher provider to share my information with the Office for Recreation, Sport and Racing (ORSR). The ORSR may share de-identified information with third parties (eg other agencies of government, research institutions, etc) to improve the administration, outcomes or effectiveness of the Program.
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