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Blue Card Form

Welcome to the Blue-card and Blue-card Exemption information submission form.

This form can upload images from your phone or tablet.
It can also upload from your HDD if using a computer.
If your phone's camera is set to a high resolution, the form may take some time to upload once you tap or click the "Submit" button at the end of the form.
This form should be used once you have received your new card so the club has a record of your newest blue-card or exemption card information for the register

Do you understand and wish to proceed?(*)

You must make an entry here.

 
First name(*)
Your name appears to be invalid, please check and try again.

Please enter your first name.

Middle name (if applicable)
This is a required field

Please enter your middle name(s) if you have any.

Last Name(*)
This is a required field

Please enter your last name.

Please enter your email address(*)
Please enter a valid email address

Please enter your email address. You will receive a copy of this submission for your records.

New card or renewal(*)

This is a required field

Please tell us if this is a new card for you at Revolutions or if it is a renewal. The club needs this information and the form will respond to this input to display only the relevant information for you.

What type of card have you applied for (or are renewing)(*)

This field is required

Please tell us the type of application you are submitting. The club needs this information and the form will respond to this input to display only the relevant information for you.

Are you a Coach or Management(*)

This field is required

Please tell us the position within the club this card is being utilised for. The club needs this information and the form will respond to this input to display only the relevant information for you.

Please enter your business name(*)
This is a required field

The club is required to hold this information on the Blue-card Register.

Please enter your ABN(*)
This is a required field

The club is required to hold this information on the Blue-card Register.

Enter your Teacher Reg or Police ID number(*)
This is a required field

The club is required to hold this information on the Blue-card Register.

Please enter your Blue (or Exemption) card number(*)
Numbers and Spaces only

The club is required to hold this information on the Blue-card Register.

Format is ------/-

Blue card image upload(*)
An image must be uploaded

Please upload your newly received Bluecard (or exemption card) image showing the front face of the card. The club is required to hold this information on the Blue-card Register.

Please enter your Skate Australia Number
Numbers only, 3, 4, 5 or 6 digits long, no spaces

This information is helpful for the Art Rep.

Coach insurance status

You must select an item

This information is helpful for the Art Rep.

Your current Skate Australia registed Accreditation level(*)
You must choose a level

The club is required to hold this information on the Blue-card Register.

Please enter your Coaches Accreditation expiry month and year(*)
/ You must enter a date.

The club is required to hold this information on the Blue-card Register.

What is your coaching status within the club at present?
An input here is required

This information is helpful for the Art Rep.

When did you submit the application for this card to Blue card Services(*)

This is a required field

This might seem like a ridiculous question to ask, however the club is required to hold this information on the Blue-card Register. When did you submit this application to Bluecard services?

What is the new expiry date on this card

Invalid Input

The club is required to hold this information on the Blue-card Register. What is your new expiry date?

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