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BOWLING ARM REGISTRATION FORM

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BOWLING ARM REGISTRATION FORM

(In accordance with Domestic Regulation 3.5.1 Only Mechanical Arms approved by Bowls Australia may be used in Australia )

MEMBER DETAILS

Full Name: ______________________________________________________________________

Address: ________________________________Postcode: _____________________________

Phone/Mob: _______________________________Email: ________________________________

Club: ______________________________________________

SECTION A. (To be completed by Club)

THE ABOVE MEMBER SEEKS REGISTRATION TO USE A BOWLING ARM WHILE PLAYING LAWN BOWLS. A SUPPORTING MEDICAL CERTIFICATE IS ATTACHED.

I _________________________________________ Club Secretary

of ________________________________________ Bowling Club endorse this request.

SIGNED: __________________________________ Date: ______ / ______ / 20____

SECTION B. (To be completed by applicant)

DECLARATION.

I_________________________________________ confirm that the Bowling Arm for which I am seeking registration to use and play with, is currently approved by Bowls Australia.

SIGNED: __________________________________ Date: ______ / ______ / 20____

OFFICE USE ONLY:

The above request has been approved on behalf of Bowls Tasmania.

SIGNED: __________________________________ Date: ______ / ______ / 20____

PROCESSED BY: __________________________________

Referensi

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Registration Fees for 01/10/2018 to 30/09/2019 Association Membership – select this only if you wish to join us as the State body eg you are already a member of an ANSW Club, or are