Junior Travel Assistance Application Form

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Junior travel assistance application

All fields are required except where indicated

Applicant Details

Applicants must be residents of the City of Cockburn
Applicants must be aged 18 years or younger as of the competition closing date

Parent / Guardian Details

The name of your sporting body/state association e.g. Football West

Competition Details

Please indicate the sport, team and the age group you have been chosen to represent

Name of the competition you will be attending including the location and the date of the competition
Note: street number and street name are needed for all addresses
(E.g. Knockout competition, State Trials, Board of Selectors)

Previous Representation Details

Have you represented Western Australia or Australia before:
Please indicate the associated costs for the competition or submit a separate financial statement in the upload box below
Supporting letter from Sporting Body/Association
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Related Pages



9 Coleville Crescent,
Spearwood 6163

Po Box 1215, Bibra Lake DC,
Western Australia, 6965

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