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

Contact

Address

9 Coleville Crescent,
Spearwood 6163

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

Language Support

Visit the City of Cockburn homepage

Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past, present and emerging.

Aboriginal and Torres Strait Islander people are warned that this website may contain images and voices of deceased persons.