Application for Affiliation Status with the WAFDA
Please complete this form and submit any additional evidence via clubs@waultimate.com
All applications will be presented at the next WA Flying Disc Association committee meeting for approval and applicants will be notified of the outcome.
Please select the Affiliation Category you are applying for: *
Contact Details of the person completing this form
First Name *
Your answer
Last Name *
Your answer
Position *
Your answer
Email address *
Your answer
Contact phone number *
Your answer
Affiliation Application
Club Name *
Your answer
Full name of your primary club contact *
Your answer
Preferred contact email address *
Your answer
Club postal address *
Your answer
Incorporation Number *
Your answer
ABN: *
Your answer
Website (if available) *
Your answer
Facebook Page *
Your answer
Twitter *
Your answer
Committee Structure and Contact Details
President *
Your answer
Contact Email *
Your answer
Secretary *
Your answer
Contact Email *
Your answer
Treasurer *
Your answer
Contact Email *
Your answer
Other *
Please insert name and position held
Your answer
Contact Email *
Your answer
Other *
Please insert name and position held
Your answer
Contact Email *
Your answer
Other *
Please insert name and position held
Your answer
Contact Email *
Your answer
Initial Membership List
Please list your initial membership list of 10 persons. This can include any committee members already listed in this application.
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Full Name *
Your answer
Affiliation Acknowledgement
1. Be an incorporated entity as defined by the WA Department of Commerce for incorporated bodies.
(Metropolitan and Regional Affiliated Club)
2. Be recognised by a University as being officially affiliated with the University's Sporting Association (University Affiliated Club)
3. Be committed to maintaining and developing the Spirit of the Game.
4. Promote Ultimate in Western Australia
5. A list of their committee members outlining their positions.
6. Submit an initial membership database of 10 persons including full names.
7.Acknowledgement to adhere to WA Flying Disc Association policies
I acknowledge and agree to the Affiliation terms listed above *
Name of the Club representative agreeing to the Affiliation terms *
Your answer
Submission of Evidence
Please submit all evidence to clubs@waultimate.com
List of required evidence
Duration of Affiliation
From (date of membership approval) to (date of membership renewal).
Club memberships are renewed annually.

Western Australian Flying Disc Association (WAFDA) Inc.
ABN: 58 689 743 544
Sport and Recreation Centre, Murdoch University
90 South Street, MURDOCH WA 6150
E-mail: clubs@waultimate.com
Web: www.waultimate.com

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