National Team Declaration Form 2021
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.
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
Coach Name
*
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.
European Cross Country Championships 2021
Yes
European Throwing Cup 2022
Yes
World Indoor Championships 2022
Yes
World Race Walking Team Championships 2022
Yes
European 10,000 Cup 2022
Yes
European Youth Olympic Festival 2022
Yes
European Championships 2022
Yes
World Championships 2022
Yes
World U20 Championships 2022
Yes
World University Games 2022
Yes
European U18 Championships 2022
Yes
European Cross Country Championships 2022
Yes
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