National Team Declaration Form
Please ensure all details are correct
* Required
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 Indoor Championships 2021
Yes
European Throwing Cup 2021
Yes
2020 World Indoor Championships
Yes
World Relay Championships 2021
Yes
European Race Walking Cup 2021
Yes
European 10,000 Cup 2021
Yes
European Team Championships 2021
Yes
European U23 Championships 2021
Yes
European U20 Championships 2021
Yes
2020 Olympic Games
Yes
2020 World U20 Championships
Yes
W.U.G 2021
Yes
2020 European U18 Championships
Yes
European Cross Country Championships 2021
Yes
Submit
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