National Team Declaration Form 2022
Please ensure all details are correct
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Do you consent to being contacted in relation to the information you have provided for the purposes of representing Ireland by the Athletics Ireland High Performance Team. Your information will be held for one year for the purposes as given. This database will then be destroyed as per our GDPR policy.
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Full Name *
Full Name as per Passport *
Mobile number (if Under18 please add parent or guardian instead)
Email *
Parent/Guardian Email (only if U18)
Club *
What is your vaccination status?
Coach Name *
Coach Phone Number *
Coach Email Address
Gender *
Date of Birth *
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DD
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Nationality *
Do you have a current Irish passport? *
Passport No *
Passport Country of Issue *
Passport Expiry Date *
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DD
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YYYY
Are you currently eligible to represent Ireland? *
Events
Please indicate which Championships you are submitting a declaration of interest to compete.
European Cross Country Championships 2021
Dynamic New Athletics Indoor Match Glasgow 2022
Celtic Cross Country Championships 2022
European Throwing Cup 2022
World Indoor Championships 2022
World Race Walking Team Championships 2022
European 10,000 Cup 2022
European Youth Olympic Festival 2022
European Championships 2022
World Championships 2022
World U20 Championships 2022
World University Games 2022
European U18 Championships 2022
European Cross Country Championships 2022
Antrim Coast Half Marathon 2022
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