Dispensation Request Form
athletes request form not to compete at a national championship
NAME
Your answer
EMAIL
Your answer
CONTACT PHONE
Your answer
NAME OF COMPETITION YOUR REQUESTING DISPENSATION
(for example) 2016 AAI National Outdoor Championships
Your answer
REASON FOR DISPENSATION
Please provide details of why you are requesting for Dispensation. Submit any additional information/documentation that may support your request
Your answer
Digital Signature
This form will go to the Selection Manager at: performance@athleticsireland.ie
Submit
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