A Star Dance Sports Voucher Submission 2024

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Please allow up to 14 working days for processing and approval by the Sports & Recreation Office. Once approved, we will adjust your invoice and resend via email. Completing the form correctly (with all 11 digits of your Medicare Card) will ensure that the paperwork can be submitted. https://sportsvouchers.sa.gov.au/__data/assets/pdf_file/0010/157942/how_to_-_medicare_card.pdf

The sports vouchers are available for children attending Reception to Year 9 in South Australia.

To be eligible to receive the $100 voucher for Term 1, 2024 the Sports Voucher Form must be received by Friday 12 January.

To be eligible to receive the $100 voucher in Term 2, 2024 the Sports Voucher Form must be received by Friday 5 April.

To be eligible to receive the $100 voucher in Term 3, 2024 the Sports Voucher Form must be received by Friday 28 June.

To be eligible to receive the $100 voucher in Term 4, 2024 the Sports Voucher Form must be received by Friday 30 August.

Email *

Child's First Name *

Child's Last Name *

Child's Gender

Female

Male

Clear selection

Child's Date of Birth *

Please write as DD/MM/YYYY

Child's Residential Address *

Child's Suburb *

Child's Postcode *

Medicare Number or Australian Visa Number *

Medicare Number must have 11 digits. This is the number next to your child's name. https://sportsvouchers.sa.gov.au/__data/assets/pdf_file/0010/157942/how_to_-_medicare_card.pdf

Parent's First Name *

Parent's Last Name *

Parent's Contact Number *

Used a voucher this calendar year? *

Yes

Is this your first year with A Star Dance?

Yes

Clear selection

Has your child been identified as living with a disability?
*

Yes

Aboriginal or Torres Strait Islander? *

Yes

Is English the main language at home

Yes

Clear selection

If English is not the main language, what is the main language

A copy of your responses will be emailed to the address you provided.

Submit

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