FOCUS on the FUTURE
Please fill in the below application form in as much detail as possible. Successful applicants will be notified by Friday 20th September 2019.
Good Luck!!
* Required
Name of applicant
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Name of parent / guardian submitting this form
*
Your answer
Address
*
Your answer
Phone number (Parent / Guardian if under 18)
*
Your answer
Email (Parent / Guardian if under 18)
*
Your answer
Sport(s) you currently participate in
*
Your answer
Team(s) that you currently represent
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Your answer
Level of competition
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Club
County
Regional
National
International
Other:
List of achievements / honours so far
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Your answer
Why do you think you would be a suitable candidate to be a part of the "FOCUS on the FUTURE" programme?
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Your answer
What are you sporting aspirations?
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Your answer
Please provide supporting evidence of you competing at this standard (e.g. coaches/teachers reference, team sheet or selection letter etc) Send to
physiofocusswinton@gmail.com
Your answer
Parental consent to be a part of the "FOCUS on the FUTURE" programme (if under 18)
*
Yes
No
Other:
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