Lilleshall National Sports Centre

To be considered for the GB junior development squad you should be shooting successfully in competition at 60 metres and above your GNAS age group, and at tournaments outside your county. If you are and wish to be considered, please fill in this questionnaire print and post to:-

John Wilson

Archery GB Performance Unit

Newport

Shropshire

TF10 9AT

Alternatively email direct to:

Personal Details

Name / GNAS number
Address / Club
Telephone: / Email:
Date of Birth:
Are you in full time education / YES/NO
If yes, please give the approximate exam dates:
Do you have a disability? / YES/NO (If “YES”, please give details on a separate sheet)
How many days/nights do you shoot per week, in? / Summer: / Winter:
Do you shoot? / Target / YES/NO
Field / YES/NO
Within your local area / YES/NO
Nationally / YES/NO
Will you be available and able to commit to monthly training sessions at National Sports Centre, Lilleshall, Shropshire? / YES/NO
Will you be able to travel to key competitions Nationally? / YES/NO
Do you have a training programme? / YES/NO
Do you keep a training/shooting diary? / YES/NO
Briefly describe below aspects of your technique you have been working on recently with your coach:
Briefly, list your goals in archery and how best will you achieve them.
What bow type(s) do you shoot? / Compound / Recurve
If you shoot more than one type, please indicate which you would shoot at squad / Compound / Recurve
Please list below your competitive scores for this season:
Date / Venue / Round / Score
1-2/5/2010 / WMAS FITA star - Lilleshall National Sports Centre / Ladies/Gents FITA
Please ask your personal coach, or, if you do not have one, an official from your club (who is not a family member) to complete this section
Name: / Coach grade (if applicable):
Relationship to archer (e.g. Personal Coach, Club chairman)
Please could you give a brief report on the archer, covering any factors you consider may be relevant to his/her participation on GB Squad; if appropriate indicate any particular areas that could be addressed with the staff. Also indicate if you consider becoming a squad member is appropriate for the archer at this time, or, if not what additional work is necessary. Please tell us how, in your opinion the archer would benefit from the squad environment. (continue on a separate sheet if necessary)
Statement: I have discussed the above with the archer, and agreed it is accurate.
Official Signed: / Date:
Archer Signed: / Date:
Is there anything else you would like to add in support of this application?
Signatures:
If the official completing the “Coaching Report” on the above page is not a “County Coach” or higher, a “County Coach” or higher should sign here to confirm that the information on the form is correct and the application is appropriate.
Print Name:
Signature: / Date:
Coach Grade:
Archer’s Signature / Date:
Parent/Guardian
I confirm that, to my knowledge, the above information is correct, and that I support the archer’s application to be considered for future development squads. I understand that this form will be kept by Archery GB and used for squad purposes only.
If the archer is unsuccessful in his/her application: I authorise the retention of this form for future reference/I wish the form to be returned to the archer Parent/Guardian. (Delete as appropriate)
Parent / Guardian
Print Name:
Signature: / Date:

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