Renew Your Membership

National Member ID:

This is the number provided when the individual registered for the first time.

If not known leave blank

First name

Enter the first name of the person to be registered

Compulsory field

Last name

Enter the surname of the person to be registered

Compulsory field

Date of birth

Select the applicable Day, Month and Year of the date of birth of the member being registered

Please choose

Select the required registration category

A description of the category will display

Gender Identity

Select whether the Gender of the registered individual is Male, Female, Non-Binary or Differently Identify

Compulsory field

Club

Select the Club or State Association the individual is to be registered against from the Dropdown menu.

Compulsory field

Please contact your Club or State Registrar if you are unsure if you need to register against a State or against a Club.

If you are registering with Aqualina (Qld) or SupaNova (WA) this field will not display.

Street

Enter the street of residence

Compulsory field

Suburb

Enter the suburb of residence

Compulsory field

Post code

Enter the post code of residence

Compulsory field

State/province

Select the state of residence

Compulsory field

Country

Select the country of residence

Compulsory field

Home phone

Enter a home phone contact number if available

Compulsory field

Email address

Enter a contact email address for the individual. If the individual is Under 18 years, the Guardians email address must be entered here

Compulsory field

Confirm email address

Re-type the email address for confirmation purposes

Compulsory field

Additional email addresses

Enter any additional email addresses correspondence is to be directed to

To add multiple email addresses, separate each with a comma

Preferred Name

Enter the name you wish to be addressed by if it differs from the First name

Guardian Contact Name

Enter the name of an emergency contact

Compulsory field

Guardian Contact Phone 1

Provide a phone number for the emergency contact

Compulsory field

Emergency Contact Phone 2

Provide a second emergency number, if available

Aboriginal / Torres Islander

If the member is of Aboriginal or Torres Islander descent, select the applicable option

· Working with Children Check State of Issue

· Number(s)

· Expiry Date(s)

Enter a WWC number if you have one

Compulsory for Accredited Coaches regardless of the membership category they sign up to.
This may be required for other roles.
Please enter your WWCC details if you have one. If you are unsure if you require this, please check your relevant state requirements or your club should be able to advise you.
This can be added later if obtained after registration is completed.

Life Membership (if applicable)

Select if you are an ASAI Life Member, State Life Member or Club Member. This status would have been given to you formally by the associated Committee. Leave blank if it is not applicable

More than one category can be selected

Are You an Accredited Coach or Training to be a Coach?

Select Yes if you are an accredited coach with a formal Id given to you by the National Coaching Director.

If you are a Coach but do not have an accreditation Id, you must be supervised at all times by an accredited Coach and register as an “Associate”. Once accreditation is received, the coach must upgrade to “Accredited Coach”.

Coach Accreditation Id

Enter the accreditation coach Id provided by the National Coaching Director.

This is compulsory for Accredited Coaches.

Please Upload a Copy of Your Level 1 Coaching Certificate

Upload a copy of the Level 1 Coaching certificate provided by the National Coaching Director.

Maximum of 5GB in JPG, PNG or PDF format

Date Level 1 Coaching Certificate Expires

Select the date the Level 1 Coaching Certificate expires

Please Upload a Copy of Your CPR Certificate

Upload a copy of the CPR certificate provided by the CPR training provider.

Maximum of 5GB in JPG, PNG or PDF format.

CPR Expiry Date

Select the date the CPR certification expires.

This is compulsory for Accredited Coaches.

Date Hypoxia Training Taken

Select the date Hypoxia training was completed

Have You Completed the Child Safe Protection Course?

Select Yes if the Child Safe Protection Course has been completed.

Please Upload a Copy of Your Child Safe Protection Certificate the Child Safe

Upload a copy of Protection Certificate provided by the trainer.

Maximum of 5GB in JPG, PNG or PDF format.

Please Upload a Copy of Your Community Coaching General Principles Certificate

Upload a copy of the Community Coaching General Principles Certificate provided by the trainer.

Maximum of 5GB in JPG, PNG or PDF format.

Have You Completed COVID19 Training

Select Yes if COVID19 training has been completed

Are You a Judge?

Select Yes if you are a Judge or are training to be a Judge.

What is the Highest Level You Have Judged At?

Select the highest level judged at.

Judges only

Judge FINA Level

This is applicable as a FINA qualified Judge – select the level qualified for – A or G.

Upload proof age

For Competitors Only - Upload a scanned copy of a formal document showing Proof of Age e.g. passport, drivers licence, student card.

The proof of age document can be added at a later time. Once this document has been verified it will be deleted. It only needs to be added once (not every year). Once verified the date of birth cannot be changed.

Use address above as billing address

Tick this box if the address entered for the individual is the same as the Billing Address.

If it is not the same address, please complete the Address Line 1, Address Line 2. City, State, Post code and Country details

Cardholder details

Enter the Credit or Debit card number to be charged, the Name on the card, the card expiry and the CVC.

Required I confirm that I have read the above Terms in their entirety

Download and read the provided terms then select this box to indicate agreement.

This is a compulsory field.

I agree to the Terms of Registration

Tick this box to agree to the terms.

This is a compulsory field

I am over 18, or if I am under 18, this registration has been filled out and endorsed by my parent or guardian.

Tick this box to indicate a parent or guardian have approved this registration, if the individual being registered is under 18 at the time of registration.

This is a compulsory field

I’m not a robot

Tick this box.