School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name *

First Name

Last Name

Primary Proposer's Name *

First Name

Last Name

Seconder's Name *

First Name

Last Name

Senior or Chief Instructor's Name *

First Name

Last Name

PLEASE NOTE: Each Organisation Member is entitled to two Representatives. Each Representative is entitled to one voting right at the Annual General Meeting. The listed fee for an Organisation covers both Representatives. Organisation membership entitles the Instructors and Students of the Organisation Member to full benefits (other than voting rights) as Subsidiary Members of WTQA. This includes Sword Class Exemption for any Instructors and Students of the Organisation Member.

I understand

Voting Representative 1's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Voting Representative 1's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Representative 1 - I am not a Prohibited Person as defined and as required by the GIC Order. (If not requesting Class Exemption, please skip this question)

Please select which document you will provide WTQA as confirmation.

Statutory Declaration

Police Check

Voting Representative 2's Date of Birth *

MM

DD

YYYY

Voting Representative 2's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Representative 2 - I am not a Prohibited Person as defined and as required by the GIC Order. (If not requesting Class Exemption, please skip this question)

Please select which document you will provide WTQA as confirmation.

Statutory Declaration

Police Check

PLEASE NOTE: It is your responsibility to ensure that your Representatives’ details are up-to-date, so that WTQA is aware of who is allowed to vote at an AGM. Please advise membership@wtqa.org.au of the full details of any new Representatives.

I understand

COMPLIANCER REQUIREMENTS: We are seeking cover by WTQA Class Exemption to practice, possess or carry a Wushu or Tai Chi sword.

Please read carefully: If Yes, you MUST complete rest of the questions on this application form. If No, you will NOT be covered by the WTQA Weapons Class Exemption. If you do not want Weapons Class Exemption please skip to the Required Documentation section.

Yes

No

We have read, the permissions, purposes and conditions of the Governor in Council Order (GIC) covering the activities involving swords.

We have also read the additional conditions of the GIC Order applying to Specified Organisations who are Organisation Members of WTQA. If 'No' you will not be covered by the WTQA Weapons Class Exemption.

Yes

No

In seeking membership and approval as an Organisation Member of WTQA, we agree that the Organisation on whose behalf this application is made, will comply with the GIC Order requirements, as evidenced by our initials on all pages of the GIC Order emailed to membership@wtqa.org.au.

We will also provide to all our students who practise, possess or carry a sword, a copy of their responsibilities as set out in this application.

Yes

No - You will NOT be covered by the WTQA Weapons Class Exemption

REQUIRED DOCUMENTATION: Please email the following documents to membership@wtqa.org.au and tick the boxes when complete.

Detailed resume of the Senior/Chief Instructor - Wushu/Tai Chi and/or Qigong

Current First Aid Certificate - You guarantee that each class has at least one individual who has a current First Aid Certificate and is designated as the First Aid Officer

Signed copies of the WTQA Code of Conduct by each Representative

Current Professional Indemnity and Public Risk Insurance Certificate

Signed GIC requirements for weapons exemption (including your initials on each page)

Police Check or Statutory Declarations for each Representative - Prohibited Persons declaration