NZSCTA Site Membership Registration

Please ensure you read members Code of Conduct and Constitution available on our website.

All online applications will be directed to the Executive Officer
exec@sctnz.com. All Site members will in invoiced in June, for payment after 1 July annually.

Please find complete your Site Membership registration forms for the year 1 July through to 30 June annually.

Site License membership is open to all Learn to Swim programmes and will also register your swim school for SWIMSAFER;

Please ensure all compulsory sections are completed and confirm Police Vetting has been carried out. SCTNZ is aware that Police clearence is required prior to employment and asks that all police vetting is no more than 3 years old. SCTNZ will provide a membership card for each staff member showing Police clearance where requested.

If it has not carried out please ensure the member complete the Police Vetting form and send through to the Executive Officer exec@sctnz.com The Police Vetting form can be found on the SCTNZ website under HERE under the 'Site' icon.

Site Membership Registration: (all costs include GST)
Changes have been made to the Site Membership categories.
6 & Under Teachers $100 per quarter
7 & Over, includes multi-sites (Unlimited numbers) $150 per quarter
All Site Members will be General member of SCTA and access to resources and courses.

You may submit your staff list in a word, xcel or staff list.

Payment:
Upon receipt of your Site membership form you will will receive an invoice. Online banking payment should include the 'Site name' and 'Site Registration number and invoice as the reference.
SCTNZ Bank details: BNZ 02-0733-0228096-000 OR payment can be made via credit card, please note ther is a processing fee included.

Select your Membership payment option plan below (monthly payments are shown below) To include all your Teaching staff, a spreadsheet will be sent to you once you have registered from the Executive Officer, from exec@sctnz.com.

Site Details please provider name and street address *

Site details

Site & SWIMSAFER provider*

Site Member onlySite Membership & SWIMSAFER provider

SWIMSAFER Programme website URL*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Phone No.*

ProviderMobile

Email*

example@example.com

Membership Type

Site Membership 1 - 6 & Under Teachers $100 per quarterSite Membership 2 - 7 & Over Teachers $150 per quarter

SWIMSAFER Primary contact email and phone number

Secondary SWIMSAFER contact, will not be published

example@example.com

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number*

Please provide your mobile phone number

Date of BIrth*

Date

Known by any other name

Please provide full name and/ passport details from overseas

Email *

Billing email*

NZSCTA/SNZ Membership NO.

Swimming NZ or Member No. can be found on your current membership card

Teaching Qualifications

Swimming NZ recognised teaching certificatesAUSTSWIM recognized teaching certificates.Other

Coaching Qualifications

SCTNZ/SCTA recognized Coaching certificatesOther

Has Police Vetting been completed*

YesNo

Date Police Vet completed

Must be in the last 12 months

Consent for Disclosure of Police Vet Report

☑ By signing and submitting this application, I consent to the notification of Swimming NZ in the event that my Police Vet report reveals a prior criminal record. I understand that neither Swimming NZ nor SCTNZ will disclose the specific nature of any such criminal records to the Club.

Acknowledgement of Rules and Code of Conduct

☑ By signing and submitting this application, I confirm that I have read, understood, and agree to comply with SCTNZ's Rules and Code of Conduct, which are available for review on the SCTNZ website. My electronic signature serves as my agreement to all terms of membership.

Consenting signature*

Tick - My electronic signature serves as my agreement to all terms of membership

Signature

SCTNZ Site Membership Registration form

Liaison Site Member