2019 COLES AUSTRALIAN LITTLE ATHLETICS CHAMPIONSHIPS

HOBART, TASMANIA 27 - 28 April 2019

 

 

NOMINATION FORM 

Please read the following forms before submitting this nomination form:

 These forms are available at http://www.actlaa.org.au/Competition/ALAC-2019-Hobart

 

By submitting this form you are accepting the conditions on the above forms.            

The ALAC Team is selected in accordance with the Little Athletics ACT ALAC Team Selection Policy and Procedure. Athletes will be required to accept their selection prior to the publication of the ALAC Team on the LAACT website. Athletes that accept their selection will be considered ‘selected athletes’. The nominations will close at 11:59pm Sunday 10th March.

All selected athletes must attend team training sessions during the 4 weeks prior to the championships. A compulsory team meeting for selected athletes and parents/guardians will be convened on Thursday 28th March 2019 at 6.30pm at the Hellenic Club at Woden.

The levy for selected athletes will be approximately $1,100 - $1,400 (subject to final budget). This levy will cover transport, accommodation, uniform, food, entertainment and sightseeing for five days. A non-refundable $400.00 deposit must be paid on or before Thursday 4th April 2019. The final payment must be made by Monday 22nd April 2019.                                     

Athlete
Athlete Name *
Athlete Name
Age Group *
Gender *
I have read and accept the ALAC Nomination Terms and Conditions: *
I have read and accept the ALAC Athlete Commitment Form: *
I have read and accept the ALAC Indemnity Form: *
I have read and accept the Athletes Code of Conduct? *
Parent/Guardian
Name *
Name
Phone *
Phone
Address
Address
I have read and accept the ALAC Nomination Terms and Conditions: *
I have read and accept the ALAC Athlete Commitment Form: *
I have read and accept the ALAC Indemnity Form: *
I have read and accept the Athletes Code of Conduct? *
Coach
If applicable
Coach's name
Coach's name
Phone 1
Phone 1