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Details

UQ Relay Team Submission Form

Date TBA

State Athletics Facility, Kessels Rd., Nathan, Queensland

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

This form is for coaches to submit relay team entries. Please submit one relay team per submission. You may complete the form multiple times to enter additional teams. Please provide your name, email address and phone number in the section above.

All nominated athletes must hold an active athletics membership and be members of UQ Athletics Club.

If you have any questions about this form or do not yet have a full relay team, please contact Taige at taige.hooper@outlook.com

Event your team wishes to compete in?*

Athlete #1 Name*

Athlete #1 Date of Birth*

Athlete #2 Name*

Athlete #2 Date of Birth*

Athlete #3 Name*

Athlete #3 Date of Birth*

Athlete #4 Name (track events only)

Athlete #4 Date of Birth (track events only)

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