Athlete Name*

Date of Birth*

Gender* Please select... Male Female

Contact Number*

Email Address*

Are you a Para Athlete?* Please select... Yes No

What is your classification

Age Category (Age group you will be competing in: PLEASE NOTE: U14 years age category, includes 12yr and 13yr old as at 31/12/25.)* Please select... U14 (12 and 13 Years) U15 (14yrs) U16 (15yrs) U17 (16yrs) U18 (17yrs)

Which events would you like to nominate for (select all you wish to be selected for)*

Name of School*

School Region* Please select... Peninsula Northern Capricornia North West

Singlet*

Shirt*

Polo*

Crop Top*

Tights (Women - Running Shorts, Men - Racing Tights)*

Briefs*

Split Shorts*

Casual Shorts*