2018 Australian Teams Nomination Form
Please complete this form and submit by 20th of February 2018. On receiving your online nomination form I will send you an email to confirm receipt of your nomination. Enquiries Ian Prosser, OA High Performance Administrator, 0439668151 ian.prosser11@gmail.com or Jim Russell, OA Head Coach, headcoach@orienteering.asn.au
Email address *
For which teams are you nominating: *
Required
Name *
Your answer
Year Of Birth *
Your answer
IOF ID Number *
Your answer
Address *
Your answer
Telephone Contact *
Your answer
Are you a paid up member of a Australian Club in 2018 *
If yes, name of Australian Orienteering Club
Your answer
Where will you be based during selection trials *
For WOC nominees give your event preferences (sprint, middle, long, bush relay, sprint relay)
Please list in order of preference from 1 to 5, with 1 being your first preference
Your answer
University
For WUOC nominees please name the university in which you are enrolled, or for 2017 graduands your university for 2017.
Your answer
Student ID
For WUOC nominees please give your student ID
Your answer
Special Circumstances
Are there any circumstances which you want to bring to the attention of selectors
Your answer
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