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National Team Declaration Form 2024
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* Indicates required question
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.
Yes
No
Clear selection
Full Name
*
Your answer
Full Name as per Passport
*
Your answer
Mobile number (if Under18 please add parent or guardian instead)
Your answer
Email
*
Your answer
Parent/Guardian Email (only if U18)
Your answer
Club
*
Your answer
What is your vaccination status?
Choose
Double shot fully vaccinated (Pfizer, Moderna, Astra Zeneca, etc.)
Single shot fully vaccinated (Johnson & Johnson/Janssen)
Fully vaccinated with booster shot
Received one shot of two shot dose
Not vaccinated
Coach Name
*
Your answer
Coach Phone Number
*
Your answer
Coach Email Address
*
Your answer
Gender
*
Female
Male
Date of Birth
*
MM
/
DD
/
YYYY
Nationality
*
Your answer
Do you have a current Irish passport?
*
Yes
No
Other:
Passport No
*
Your answer
Passport Country of Issue
*
Your answer
Passport Expiry Date
*
MM
/
DD
/
YYYY
Are you currently eligible to represent Ireland?
*
Yes
No
Other:
Events
Please indicate which Championships you are submitting a declaration of interest to compete.
2024 World Indoor Championships (Glasgow, Scotland, Leiria, Portugal, 1st to 3rd March)
Yes
2024 European Throwing Cup (Leiria, Portugal, 9th to 10th March)
Yes
2024 World Cross Country Championships (Belgrade, Serbia, 30th March)
Yes
2024 World Race Walking Team Championships (Antalya, Turkey, 21st April)
Yes
World Relay Championships (Nassau, Bahamas, 4th to 5th May)
Yes
2024 European Championships 2023 (Rome, Italy, 7th to 102th June)
Yes
2024 European U18 Championships (Banska Bystrica, Slovakia, 18th to 21st July)
Yes
2024 Olympic Games (Paris, France, 1st to 11th August)
Yes
2024 World U20 Championships (Lima, Peru, 26th to 30th August)
Yes
2024 European Cross Country Championships (Antalya, Turkey, 8th December)
Yes
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