Embed Size (px)
Citation preview
Ski & Snowboard AustraliaPara-alpine IPCAS Event – Expression of Interest Form
Ski & Snowboard Australia Limited (SSA)IPCAS Event Expression of Interest (EOI) FormDiscipline: Para-alpine SkiingEvent: Slalom, Giant Slalom, Super-G, Super Combined, DownhillLevel: IPCAS, Europa Cup, Nor-Am, World CupGender: Male/ FemaleClassification: All
1. ObjectivePlease refer to the SSA Para-alpine IPCAS Event Selection Criteria
2. Expression of Interest Notes Return forms to SSA Office ([email protected]) at least 5 weeks prior
to the first event start date. Only athletes that have met the eligibility and selection requirements as outlined in
the SSA Para-alpine IPCAS Event Selection Criteria will be considered for selection.
SSA does not assume the responsibility of providing support and services for athletes not provided with an SSA Athlete Contract to attend events.
Submitting this Expression of Interest form does not guarantee your entry into the listed
PERSONAL DETAILSName Date SubmittedGender DOBSSA Number IPCAS NumberIPCAS Points As of (Date)International Competition Insurance (attach copy and provide policy detail)DisciplinesAthlete Mobile No.Athlete EmailAthlete ClassificationAthlete Classification StatusName of Guide (if applicable)
COACH/ PARENT DETAILSFull NameRelationshipContact No.
1 | P a g eUpdated October 2013
Ski & Snowboard AustraliaPara-alpine IPCAS Event – Expression of Interest Form
EmailEVENT DETAILS
Event No Date(s) Event Location Discipline(s)Event/
Performance Comments
12345678910
ADDITIONAL EVENT DETAILS
Event No Is Accom. Required?
Will you be attending with a
coach?
Arrival Date
Departure Date
Accom./ Transfer
Comments12345678910
If you require any further information please contact Annie McCormack in the SSA Office.Phone 03 9696 2344Email [email protected]
2 | P a g eUpdated October 2013
