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2025 NZSSAA Australian Athletic Champs Para Athlete Tour.
Please complete this form if you are interested in being part of the 2025 NZSSAA Australian Athletic Champs Para Athlete Tour. Please remember ALL applications must be accompanied by a $250 refundable deposit paid to account # 03-0791-0598976-002 referencing your surname. This deposit will be refunded to all athletes who are not selected.
Email *
Parental permission *
Required
Name (first and last)
Email address (please make sure this is accurate as this will be the first point of contact)
Mobile contact phone number
Date of birth
MM
/
DD
/
YYYY
Year level in 2025
Clear selection
Event # 1
Personal Best for event #1
Event # 2
Personal Best for event #2
Any other relevant information you would like to add
A copy of your responses will be emailed to .
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