South Australian Athletic League Registration

2010/11 Season Registration

To register for the upcoming 2010/11 season, please complete the following form with your details.

NOTE: If you are having difficulty entering dates into the birthdate and previous results/personal best tables then click here for a version of this form that should allow you to enter dates directly in the form fields (the dates will need to be entered as yyyy-mm-dd format, please ensure that this format is correct on your form before submitting).

Personal Details

First Name*:
Surname*:
Street Address*:
Suburb*:
Post Code*:
Phone (H)*:
Phone (W):
Phone (M):
Email*:
Fax:
Occupation:
Employer:
Date of Birth* (yyyy-mm-dd):
Gender*:

Coach:

Registration Type*:

Past Performances

The following information must be supplied by all athletes

Please advise of your last 10 performances in any other athletic competition (Athletics SA, Little Athletics, School titles, Victorian Athletic League, etc - not SAAL).

We may contact you for more information if the information provided is found not to be satisfactory by the handicappers and/or stewards.

False or misleading information is strictly prohibited and may incur a penalty

NOTE: Dates should be submitted in the format: yyyy-mm-dd.

Date	Venue	Controlling Body	Distance	Your Place	Your Time	Winner Name	Winner Time

Personal Bests

The following information must be supplied by all athletes

You must provide your best performances over any of the following distances: 70, 100, 120, 200, 300, 400, 550, 800, 1000, 1500, 1600, 3200 metres.

We may contact you for more information if the information provided is found not to be satisfactory by the handicappers and/or stewards.

False or misleading information is strictly prohibited and may incur a penalty

NOTE: Dates should be submitted in the format: yyyy-mm-dd.

Date	Venue	Controlling Body	Distance	Your Place	Your Time	Winner Name	Winner Time

Declarations

	I agree that the SAAL may pass on my personal information to other persons or sporting bodies if required.
	I declare that the information on this form is true and correct and I shall abide by the rules of the SAAL.*