Register as a remote activity provider

Please fill out the form to register as a remote activity provider.

Please email your Certificate of Currency for your Public Liability Insurance to sport.voucher@nt.gov.au

Required fields are marked with an asterisk (*).

Organisation Details

Postal address of your club / business

Your contact information

About your programs

Please provide any additional information you think we should know.

Your eligibility

What type of provider are you? *
Other: Please specify  

50 words or less

Do you have current Public Liability Insurance? *
Do all your staff and volunteers who administer your program hold current NT Working With Children (WWC) cards? *
Are you registered as an Urban Activity Provider under the Sport voucher Scheme? *

Please provide any additional information you think we should know.


   

Last updated: 27 June 2017