Judges Sign-in – Flipz Academy – Super Performance Centre

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

Judge Sing-in Attendance & Payment form

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

Email *

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 *