2021 Rotorua Distance Camp - Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
If you are under 18, please list your parents contact details
Name, Phone, Email, etc.
Athlete Questions Section
Coaches - please leave this section blank.
What events do you compete in?
Please list any specific dietary requirements or allergies.
Please provide the personal details of your personal coach
Name, Phone, Email, etc.
Will your personal coach be attending camp with you?
Yes
No
Athletes - In one paragraph, tell us why you want to attend the camp and what you hope to get out of it
Coaches Question Section
Athletes - please leave this section blank
Please list any specific dietary requirements or allergies.
Please provide the name of the athlete you will be accompanying.
In one paragraph, please outline one key coaching questions you would like answered over the camp.
Submit
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