VBSA Online Membership Application Form

If you ARE NOT any of the following, you must pay a $20 annual membership fee via the VBSA Shop
·  Life Member
·  Active referee
·  Active coach
·  Active City Club Circuit member during the current competition year
·  Junior (age 18 or under)
·  Identify as a female, Non-Binary or Not specified (prefer not to say)
·  Played at least 1 VBSA pennant match in the calendar year preceding the date of membership OR will be playing in the current season.
Please address all correspondence via email to scores@vbsa.org.au

Reason for membership application:

·  Pennant. No membership fee required

·  Tournament or Other. Membership fee may be required. See above.
* required
Surname/Family Name: *
Firstname: *
Post Code: *   (Use 9999 if International)
Home Phone:
Mobile Phone: *
Email Address: *
Date of Birth: *

Cue Sport Preference:

Would you like to be a VBSA Referee?

I prefer to receive VBSA communications.

to my name, email and mobile telephone number being provided to third parties and for those third parties to send me promotional and marketing information, using my preferred communications method. Consent can be withdrawn at any time.
Parent or Guardian
If this form is being completed by a person other than the applicant e.g. parent on behalf of junior, please provide your name, contact phone number and relationship to the applicant.
Phone Number:
Relationship to applicant e.g., Parent:
I agree to abide by the VBSA Rules, By-Laws and Policies. · I also agree to abide by all ABSC Documents and Policies that have been adopted and are notified under “GOVERNANCE” on the ABSC Website. and I accept the personal responsibility of knowing and understanding these VBSA and ABSC requirements as published from time to time.
I have read and understood and agree to abide by the Australian National Anti-Doping Policy, effective from 1 January 2021, and found on the Sport Integrity Australia website being the anti-doping policy adopted by The Australian Billiards & Snooker Council and applicable to all members, participants and non-participants

Today's Date       2024-07-25
Please do not refresh page until application process has completed.