Summer Down Under Post-Series Recovery and Testing Camp

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Summer Down Under – Post-Series Recovery and Testing Camp

TEAM REGISTRATION FORM

NOTE: The information gathered with this form notifies the research team of your interest to participate in the Summer Down Under Post-series Camp, allowing us to organise the transport and correct accommodation. Information will not be used for any other purposes.

TEAM NAME:

CONTACT PERSON:

NAME:E-MAIL:

Contact phone number prior to travel:

Contact Phone number in Australia (if Known)

TEAM TRAVEL ARRANGEMENTS

Date of arrival in Australia:

CONTACT INFORMATION IN AUSTRALIA

Address #1 / Address #2
Name: / Name:
Address / Address
Phone No.: / Phone No.:
Dates at this address: / Dates at this address:
Address #3 / Address #4
Name: / Name:
Address / Address
Phone No.: / Phone No.:
Dates at this address: / Dates at this address:

Team departure details:

Date:Airline:Flt #:Flt time:

PARTICIPANT INFORMATION

Participant #1

Last Name: / M / F (circle one)
First Name: / D.O.B:
No. Wheelchairs / Athlete or Coach / assistant (circle one)
Class:T51T52T53T54
Folding day chairs: / Dietary requirements
Rigid day chairs:
Track chair in crate:
Crate Dimensions:
Track chair no crate:
Sleeping arrangements (circle all suitable):
Single bedBunk bed (bottom)Bunk bed (top)
Departure details (if different from team)
Date:Airline:
Flt#:Flt Time

Participant #