Details

Youth Development Program 2024/25

Thu 16 Jan 2025 12:00PM — Sat 18 Jan 2025 8:30PM

Various

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Participant Name*

Little Athletics Centre*

Senior Athletics West Club*

Date of Birth*

Parent/Guardian Name*

Parent/Guardian Email*

Parent/Guardian Phone*

Does the participant have any allergies?* Max. 255 characters

Does the participant have any medical conditions that staff need to be aware of during the camp?* Max. 255 characters

Does the participant have any dietary requirements?* Max. 255 characters

Is there anything else you would like the staff on the camp to know about the participant that will help the participant to get the most out of the experience?* Max. 255 characters

What are you most looking forward to through being involved in the Youth Development Program?* Max. 255 characters

Do you consent to the above answer being quoted in our marketing of the program?*

Yes

Are there any areas of coaching that particularly interest you? Please select all that apply*

Sprints

Hurdles

Relays

Middle Distance/Distance

Jumps

Throws

Are there any areas of officiating that particularly interest you? Please select all that apply*

Competition Administration/Management

Photo Finish & Results

Track

Start Team

Call Room/Marshalling

Horizontal Jumps

Vertical Jumps

Throws

Please note

All prices are inclusive of GST.
A Registration fee of $450.00 applies for this event.

Event Waiver

I have read the conditions of entry for this event/program and understand the demanding physical nature. I have trained for this event/program and I am not aware of any medical condition or impairment that will be detrimental to my health if I participate in this event/program. If I become aware of any medical condition or impairment, or am otherwise sick or injured prior to the event/program, I will withdraw from the event/program.

I acknowledge that participating in this event/program may involve a real risk of serious injury or even death from various causes including: over exertion, dehydration, and accidents with other participants, spectators or on-site equipment.

I consent to the publication and/or use in any form of media whatsoever of my name, image, voice, statements or otherwise, before, during or after the event/program whether for advertising, promotion or otherwise, without payment or compensation.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

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

Already a member?

Details

Basic details

Additional information

Event Waiver