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Details

FIS Para (Alpine and SB) Event Expression of Interest (EOI) Form

Date TBA

Online

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Athlete Personal Details

Para Discipline*

Gender*

Date of Birth*

FIS Para Number*

FIS Para Points (for each discipline you are applying)* Max. 255 characters

As of (date)*

International Competition Insurance (attach copy and provide policy detail)*

Choose file...

Max 5MB

Policy details* Max. 255 characters

Athlete Mobile Number*

Athlete Email*

Athlete Classification & Classification Status* Max. 255 characters

Name of Guide (if applicable)

Requested Event(s) Details

Event No. 1

Event No. 1 - Start Date*

Event No. 1 - End Date*

Event No. 1 - Event*

Event No. 1 - Location*

Event No. 1 - Discipline(s)*

Event No. 2

Event No. 2 - Start Date

Event No. 2 - End Date

Event No. 2 - Event

Event No. 2 - Location

Event No. 2 - Discipline(s)

Event No. 3

Event No. 3 - Start Date

Event No. 3 - End Date

Event No. 3 - Event

Event No. 3 - Location

Event No. 3 - Discipline(s)

Event No. 4

Event No. 4 - Start Date

Event No. 4 - End Date

Event No. 4 - Event

Event No. 4 - Location

Event No. 4 - Discipline(s)

Event No. 5

Event No. 5 - Start Date

Event No. 5 - End Date

Event No. 5 - Event

Event No. 5 - Location

Event No. 5 - Discipline(s)

Event No. 6

Event No. 6 - Start Date

Event No. 6 - End Date

Event No. 6 - Event

Event No. 6 - Location

Event No. 6 - Discipline(s)

** If any of these events offer an additional race package an email will be sent with further details.

Coach Details

Coach Name*

Coach Contact Number*

Coach Email*

Program* Max. 255 characters

Parent or Guardian Details for U18 Athletes / Emergency Contact Details for all Athletes

Parent/Emergency Contact Name

Parent/Emergency Contact Number

Parent/Emergency Contact Email

Relationship

If you require any further information, please contact Para Manager Ali Bombardier

Email: abombardier@snow.org.au

Please note

All prices are inclusive of GST.

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*