Welsh Athletics &
Welsh Schools Athletic Association

U13 and U15 Outdoor Combined Events Championships 2016

Incorporating U17 pentathlon and U11 Run/Jump/Throw
Swansea University Track, SA2 8BQ Swansea Saturday 25th June

CLOSING DATE Thursday 9th JUNE

AGE GROUPS / MUST BE BORN ON OR BETWEEN / SCHOOL YEARS
U11 Athletes / 01/09/2005 – 31/08/2007 / 4 or 5
U13 Athletes / 01/09/2003 - 31/08/2005 / 6 or 7
U15 Athletes / 01/09/2001 - 31/08/2003 / 8 or 9
U17 Athletes / 01/09/1999- 31/08/2001 / 10 or 11
AGE GROUP EVENTS
U11 Girls / Run/Jump/Throw / 75m, Long Jump, Shot
U11 Boys / Run/Jump/Throw / 75m, Long Jump, Shot
U13 Girls / Quadrathlon / 70m Hurdles, Long Jump, Shot, 800m
U13 Boys / Quadrathlon / 75m Hurdles, Long Jump, Shot, 800m
U15 Girls / Pentathlon / 75m Hurdles, Long Jump, Shot, High Jump, 800m
U15 Boys / Pentathlon / 80m Hurdles, Long Jump, Shot, High Jump, 800m
U17 Women / Pentathlon (WSAA Championship Only) / 80m Hurdles, Long Jump, Shot, High Jump, 800m
U17 Men / Pentathlon (WSAA Championship Only) / 100m Hurdles, Long Jump, Shot, 200m, 800m
CLOSING DATE / THURSDAY 9th JUNE 5PM
CLOTHING / In all events, competitors must wear a vest or crop top of their first claim club or their school or their region or their schools’ district.
EQUIPMENT / Personal blocks, with block spikes of 6mm or shorter, may be used subject to the approval of the Technical Manager.
INFORMATION / All relevant information will be emailed and published on the Welsh Athletics website prior to the Championships
ENTRY FEE
PAPER / £15.00 for U15 & U17 Pentathlon
£10.00 for U13 Quadrathlon
Please enclose EITHER a cheque (made out to Welsh Athletics Ltd) OR a postal order in UK sterling.
Please DO NOT SEND cash. Your entry form is to be sent to:
Wales National Athletics Stadium, Welsh Athletics Ltd, Cardiff International Sports Campus, Leckwith Road, Cardiff, CF11 8AZ.
ENTRY FEE
ONLINE / £15.00 for U15 & U17 Pentathlon
£10.00 for U13 Quadrathlon
£5.00 for U11 Run/Jump/Throw
ANTI DOPING / I hereby
(i) acknowledge that I am bound by UKA’s Anti-Doping rules,
(ii) agree to submit to drugs testing in connection with this event in accordance with UKA’s Anti-Doping rules (which may involve my providing a blood and/or urine sample).
(iii) Confirm that I am either aged 18 years or older or that the person(s) having parental responsibility for me consent to the above testing. To check the status of registered medicines please visit www.globaldro.com. For information on testing procedures please visit www.ukad.org.uk. The UKA Anti-Doping Rules are available at www.uka.org.uk. For general anti-doping queries please contact .

2016 WELSH U17 & U20 COMBINED EVENTS CHAMPIONSHIPS

These championships are again scheduled to take place during the England Athletics championships.
U17 Welsh Championships will be held at Bedford on August 20th & 21st the closing date TBC
Please visit http://www.englandathletics.org/england-athletics/english-national-championships for entry online
FOR OFFICE USE ONLY
CHEQUE NUMBER / RECEIVED DATE
CHEQUE DATE / VALUE / £

PLEASE ONLY RETURN THIS SHEET. THANK YOU

ATHLETE INFO / EVENT PERSONAL BESTS
Registration Number* / Event / P.B.
First Name* / Pentathlon & Quadrathlon Only
Surname* / 70m Hurdles (U13G)
Club* / 75m Hurdles (U13B)
School* / 75m Hurdles (U15G)
Coach / 80m Hurdles (U15B)
Eligibility* / A / B / C / 100m Hurdles (U17M)
Please tick only 1 of the above (A: Birth B: Parents C:Residence) / HIGH JUMP (U15G & U15B)
Place of Birth* / LONG JUMP (ALL)
ADDRESS INFO / SHOT (ALL)
Address* / U11 RUN/JUMP/THROW
Address* / 75m
Address* / LONG JUMP
Town* / SHOT
County / If you do not have a personal best please just enter 0.00 in the cell next to the event
Post Code*
BIRTH INFORMATION
Date of Birth* / dd / mm / yy
Gender* / Male / Female
Age Group / U11 / U13 / U15 / U17
CONTACT INFORMATION
Phone Number Day*
Phone Number Mob*
Email* please print
ADDITIONAL INFORMATION
Please create a unique 5 digit code for your entry
5 Digit PIN number
Athletes under 16 must have this form signed by a parent or carer, to declare that you have read the Anti-Doping statement above please tick the box on the right / signature / P