Judges Sign-in – Flipz Academy

Please fill in the form below to Sign-in your attendance and request payment.

Judge Sing-in Attendance & Payment form

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Competition

Judge age

Club affiliated with

If independent judge, please write "Independent"

Technical Number

If you are a trainee judge, please skip this step and continue filling the form

First Name

Last Name

Level of judge's accreditation

Payment rate (per session)

Sessions attended (please tick each session number you are judging):

Total number of sessions judged:

Please fill-in the total amount of sessions judged

Contact Phone

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Bank name

BSB

Account number

Account name

Reason for not quoting an ABN:

The supplier is an individual and has given the payer a written statement to the effect that the supply is made in the course or furtherance of an activity done as a private recreational pursuit or hobby

Signature

Clear Signature