Name:
DOB: Club:
Address:
Home Phone: Mobile
Phone:
Family Email:
Event: Performance:
Name of carnival/meet:
Date:
AWD World Record (if applicable)
Event: Performance:
Name of carnival/meet:
Date:
AWD World Record (if applicable)
Event: Performance:
Name of carnival/meet:
Date:
Name:
Home Phone: Mobile Phone:
Email:
Years Coaching: Current
Accreditation:
1) Your Details
2) Your Performance Details
(list only the best performance for each event. Attach further information to the back of this entry form if required)3) Your Personal Coach Details
Where do you train?
How many sessions per week?
Do you play other sports? If so please list them.
Did you or do you do Little Athletics? If so where and for how many years?
4) Your Athletics History
TTP Application Form:
Athlete Agreement:
As a member of the NSW TTP, I agree to the following:
-Be present at at least 10 TTP sessions -Liaise with the TTP coach as required
-Complete all tasks set for me by my TTP coaches and administrators
Print Name:_________________________________________ Print Name:_____________________________________
Signed: (Athlete)_____________________________________ Signed: (Parent)_________________________________
Parent Agreement
(for athletes under eighteen years old):I give permission for my child to participate in the NSW TTP for 2012/13. I am aware that my child will need to attend TTP training sessions and complete tasks set for him/her by his/her TTP coach and/or administrators.
Print Name:_________________________________________
Signed: (Parent)______________________________________
Personal Coach Agreement:
As a NSW TTP personal coach, I agree to the following:
- Be present at at least 8 TTP coaching sessions -Liaise with the TTP coach as required
-Participate in at least one professional development opportunity for the 2012/13 season *
Print Name:_________________________________________
Signed:_____________________________________________
* Professional development opportunities include progressing to the next appropriate coach accreditation standard, attaining further accreditations in different event group areas, mentoring of a beginning coach, participation in either the AA U17 or U19 programs etc.
