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Registered Activity Providers
New/Replacement Voucher
New Voucher Request
[New]
Request a new or replacement Sport Voucher 2020/2021
Who Can Apply?
To obtain a
Sport Voucher
your child must meet all of the following:
• be a resident of the NT
• be school aged
• be enrolled in a recognised pre-school, primary school, middle school or secondary school.
Is your child school aged and enrolled at a recognised urban school?
*
Yes
No
deselect
If you child is not school aged and not currently attending school you may be eligible for a
learn to swim voucher
.
Child / Voucher details
Child First Name
*
Child Middle Name
*
Child Last Name
*
Student UPN (if known)
*
Child DOB
*
If you child is in pre-school please select the corresponding primary school
Which school is your child attending?
*
School Attended Last Year (if different from current)
*
New/replacement voucher for
*
*
- Parents/carers can apply for a new or replacement voucher for the current financial year up until 24th of May.
- Replacement vouchers will be emailed to you within 10 working days.
- All vouchers must be presented to a provider before they expire on 31st May.
Reason for new voucher
*
New voucher request
Student has recently changed schools within the Northern Territory
Student has recently started transition or pre-school
Student is new to the Northern Territory this semester
Lost Voucher
Other
Comments
*
You may provide further information on why a replacement voucher is required.
Parent/Carer name and address
Parent First Name
*
Parent Last Name
*
Address Line 1
*
Address Line 2
*
City/Suburb
*
State/Territory
*
Postcode
*
Country
*
Australia
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion ! Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone Number
*
Email
*
Please re-enter your email, checking that you have entered it correctly. Your voucher will be sent to this email address.
Confirm Email
*
Conditions
*
- By submitting this form I consent to the Department of Territory Families, Housing and Communities– Sport and Active Recreation storing this data and confirming this data with other NT Government Departments.
- Once a replacement voucher is issued the previous voucher will be deleted in the system.
- Sport Vouchers are valid until 31 May.
- Sport Vouchers can only be redeemed with a
Registered Activity Providers
I Agree