Join VISACT

Personal details

Title  Mr Mrs Miss Ms Dr

Given name 

Surname 

Street 

Suburb 

State/Territory  State... ACT NSW VIC QLD WA SA TAS NT

Postcode 

Email address 

Home phone 

Work phone 

Mobile phone 

Fax 

Date of birth
(dd/mm/yy) 

Gender   Female   Male 

Emergency contact
name & telephone 

While VISACT does not require members who wish to play a sport to provide evidence of their vision impairment before joining, to play in some competitions members may need to arrange an eye test with the appropriate certification to be signed by the tester.

To give the VISACT sports administrators an indication of your sight please ensure that this section is completed. If you do not hold some form of international card you do not need to complete that section. You may be required to obtain one in due course.

 Totally Blind
 Partially Sighted
 Fully Sighted

 B1: totally blind, light perception only
 B2: Ability to recognise a hand to 2/60 visual acuity
 B3: 2/60 - 6/60 visual acuity
 B4: 6/60 - 6/24 visual acuity

Membership types

 Individual (See table avove)

Individual membership is open to anyone. Once you join VISACT, you are eligible to play any sport arranged by VISACT without joining another association. At times other charges may apply to enter events or to use facilities. This fee covers the cost of insurance and administration.

 Associate (See tablea bove)

Associate membership is open to anyone, sighted or vision impaired, who does not play sport but is interested in assisting VISACT with its goals and objectives.

 Corporate ($500)

Corporate membership is open to any business or association located anywhere. VISACT will issue an invoice for your fee contribution so that you may claim it as a donation. VISACT is a registered charity.

Paying your membership fees

VISACT prefers to receive all payments by electronic funds transfer (EFT). If you pay by EFT please ensure the comment that appears on our bank statement includes your surname. Our bank account details are:

Alternatively, you can post a cheque to:

Which sports are you interested in?
(Check as many as you like)
 Athletics
 Cricket
 Cycling
 Goalball
 Golf
 Lawn bowls
 Sailing
 Swimming
 Swish
 Tennis
 Tenpin bowling
 Walking

How else can you assist VISACT?
(Check as many as you like)
 Canteen
 Coaching
 Driving
 Fund-raising
 Scoring
 Social assistance
 Umpiring
 Administration

Thank you for your application! We'll be in touch soon.

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