Nillumbik Community Rebate Application

Aligned Leisure Community Member Rebate Program Application

Aligned Leisure are very excited to introduce our Community Membership Rebate Program to support and strengthen partnerships with local sporting clubs, schools and community groups.

Name of Sporting Club / School / Community Group - Copy*

Name of Primary Representative*

First Name

Last Name

Position Held*

First Name

Last Name

Phone*

Email Address*

ABN if Applicable

Name of Secondary Representative*

First Name

Last Name

Position Held*

Secondary Contact Email Address *

Do you have Professional Indemnity Insurance*

Yes No N/A

Name/s of Insurer

How would your Sporting Group / School / Community Group use the member rebate?*

Discount off existing and / or new court hire charges Centre credit for use of Nillumbik Leisure Facility services (casual gym or swim sessions, group fitness classes, room or court hire) Direct cash rebate to the club to support fundraising program

What Nillumbik Leisure facility is your booking currently at or would you like to attend?

What services would your group be interested in using, for example swim lane hire, group fitness classes, etc?

Cash payments are to be used for projects and/or equipment for your group. What projects or equipment would your group look to use funds for in the upcoming 12 month period?

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