2022 National Senior Program & National Development Program Nomination Form

Badminton Australia National Senior & Development Program - Nomination Form

We are seeking nominations from players wanting to be considered for selection to the 2022 National Senior Program and 2022 National Development Program under the Badminton Australia High Performance System and Pathway.

To be eligible players must:
- Be a Registered Member with Badminton Australia through their State/Territory Badminton Organisation
- Must upload an email or letter of support from their affiliated club or association supporting their nomination (Badminton Australia will contact State/Territory organisations separately to confirm that the person being nominated is a registered member and in good standing)
- Be eligible to represent Australia in international competitions
- If selected agree to participate in the National Championships and home state championships (if applicable)
- Make themselves available to attend National Camps
- Have an allocated personal coach and club, in which that coach will liaise with BA National Coaches
- Commit to a National & International Competition Schedule (see dates and compeittions you must be available for below)
The Badminton Australia Athlete Selection Policy will provide other information regarding the criteria for selection. Click here to view.

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This form is for any person (the Participant) wanting to nominate to participate in Badminton Australia activities related to the National High Performance Program, Performance Pathway, National Development Program, National Senior Program and/or Talent Development programs (the Activities). As a requirement of participating in the Activities the Participant must complete and submit this consent form to BA prior to commencing participation in the Activities.

Activities included for this consent form include but are not limited to National Senior & Olympic Program, National Development Program, State National Camps and State Development Squads endorsed by Badminton Australia and any other activity approved by Badminton Australia when conducted in Australia or outside of Australia.

I wish to nominate for the (you can choose more than one)*

National Senior Falcons Program (I am at least 16 years of age in 2022)National Development Falcons Program (I am aged between 14 and 21 in 2022. Players between 18-21 must be a current or past Junior Falcons player)
What is the players age?*

18 years or above17 years or under

National Development Falcons Program

To be considered for the National Development Program you must be aged between 14 to 21 in 2022. Players aged between 18-21 are required to have been a past or current Junior Falcons player.

To be considered for the National Development Program you must be availabe for all of the following events and dates. Costs to attend below must be covered by the player. Limited funding may be provided by Badminton Australia where available. If selected for the World Jumior Championships costs are expected to be between $5,000-$10,000 if government funding is not available.

Dates you agree to available for camps, competitons and activities (excluding travel days) are:

• January Competition Selection Camp (25-29 January 2022)
• Oceania U19 Teams (if selected) & Individuals (14-20 February or 22-30 April 2022)
• Australian National Senior Championships and Camp where conducted (9-21 April 2022)
• National Development Camp & National U19/U15 Championships (July)
• National Development Camp & National U17 Championships (September)
• World Junior Championships where selected, Year 12 exemptions apply (Sat 29 October to Sunday 20 November, 2022)

(We have done our best to be as accurate as possible re above - dates may be subject to change)
National Senior Falcons Program

To be considered for the National Senior Falcons Program you must be at least 16 years of age or older in 2022

You must be available for all of the following.

Please note that costs to cover participation in the events and activities will be covered by Badminton Australia wherever funding is available. Where funding is not available players are required to cover costs for domestic or international travel - depending on government funding this amount could be as high as between $5,000 and $10,000.

Dates you agree to be available for camps, competitons and activities (excluding travel days) are:
- January Competition Selection Camp (25-29 January 2022)
- Oceania Individuals and VICTOR Oceania Men's & Women's Team Championships 2022 (14-20 February or 22-30 April 2022)
- Australian National Senior Championships and Camp (9-21 April 2022)
- Thomas / Uber Cup if Australia qualifies and selected (8-15 May 2022)
- Possible other preparation camps and international competition (May/June 2022)
- Pre-Commonwealth Games Camp if selected (June/July 2022)
- Commonwealth Games if selected (28 July to 8 August 2022) Click here for the selection criteria and click on "High Performance Policies and Selection Policies"
(We have done our best to be as accurate as possible re above - dates may be subject to change)
By ticking this box you acknowledge you are an Australian citizen
By ticking this box I agree to attend the above National Senior Falcons Program activities where selected by Badminton Australia
By ticking this box I agree to attend the above National Development Falcons Program activities where selected by Badminton Australia

Nominating Player Details
Player name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Suburb / TownState

Post Code
Player Contact Phone Number*
Player Contact Email address*
Date of Birth*

MonthDayYear
Date
Is the player?*

MaleFemale
Medicare Number*
Family Doctor Name and Phone number (optional)
Do you have Private Health Insurance (players must take our private health insurance at the top level if selected)*

YesNo - I will take out if selected
If YES what is your Health Fund Name and Number
Any existing medical Conditions/Allergies? (note: this information is not provided to selectors but kept on file when needed)
Any Regular Medications? (note: this information is not provided to selectors but kept on file when needed)
Name of School/Workplace*
Average number of hours per week spent training or playing badminton on court over the past 6 months*
Average number of hours per week spent training off court*
Other sports played and number of hours played per week
Can you provide a brief outline of your playing achievements in badminton (up to 100 words): *

0/100
Do you have any injuries? If yes please describe the injury. *

0/100
Club Details
Club Name*
Coach Name*
Coach Qualification Level*
Coach Phone Number*
Coach Email Address*
Club Endorsement

Your club is required to endorse your involvement in this activity. Please upload an email or letter that states the following:

To Badminton Australia

Club Name endorses the participation of Name to participate in the activity with Badminton Australia. Our Club is affiliated with our State or Territory Badminton Organisation that is affiliated with Badminton Australia.

Our club complies with all the conditions of membership with our State or Territory organisation.

Name of Club person, Role of Club person, Contact email address, Contact phone number
Upload letter here

Cancelof
If player is under 18 Parent/Guardian contact details
Name of Parent/Guardian #1*

First NameLast Name
Email of Parent/Guardian #1*
example@example.com
Phone number of Parent/Guardian #1*
Name of Parent/Guardian #2

First NameLast Name
Email of Parent/Guardian #2
example@example.com
Phone number of Parent/Guardian #2
Emergency Contact Details
Name of Emergency Contact Person*

First NameLast Name
Relationship to player*
Phone number of Emergency Contact Person*
If nominating for the National Senior Falcons Program have you provided information to Jeff Tho to be on the Commonwealth Games "Long List" (ie passport details, photo etc")?

YesNoNot sure
If you answered "No" or "Not Sure" please follow these instructions:
1. Download and read the Commonwealth Games Australia Privacy Collection Statement
2. If you agree to the CGA Privacy Collection Statement, click here to download this excel file
3. Fill out your details using the comments for explanations
4. Save As: CWG - Badminton_(Insert your name)
5. Send the filled out excel file, attach any relevant documentation (ie: the scan of passport photo page which must be .jpg or .pdf) and send to jeffrey.tho@badminton.org.au by 3 December 2021 at 12 noon

Condition of Participation in the Activities
Consent*

By ticking this box the Participant agrees to the terms and conditions included in this form including being subject to the Badminton Australia Athlete Selection Policy.
Under 18 Consent*

If the Participant is under 18, as parent/guardian of the Participant, you give your consent for the Participant to participate in the Activities on the conditions set out below and agree to those conditions on the Participant’s behalf, including the Badminton Australia Athlete Selection Policy.
Consent to Participate and Risk Warning

The Participant acknowledges that he or she will be exposed to certain risks when participating in the Activities including but not limited to physical injury. The Participant acknowledges that participation in the Activities is entirely at the Participant’s own risk. The Participant has voluntarily read and understood this risk warning, and accepts, and assumes the inherent risks in the Activities.
Consent of Fitness to Participate

The Participant (and if under 18 parent of the Participant) declares that he or she is medically and physically fit and able to participate in the Activities. The Participant will immediately notify BA of any change to the Participant’s medical condition, fitness, or, ability to participate. The Participant understands that BA will rely upon this declaration as evidence of the Participant’s fitness and ability to participate in the Activities.
Consent to Medical Treatment and Storage and Use of Medical Information

If deemed necessary by BA staff or BA, the Participant may be assessed, provided with advice and/or given treatment by BA appointed doctors and other health service providers, including but not limited to physiotherapists, psychologists and nutritionists (‘Health Providers’).

The Participant and Parent:

a) consent to the Health Providers:

(i) consulting with, screening and treating the Participant; and

(ii) collecting and storing records of relevant consultation or treatment information (‘Database Information’) (including entering that Database Information into BA’s electronic Athlete Management System (‘AMS’) or eqivalent);

b) acknowledges that BA is not responsible for treatments provided by the Health Providers and that BA only facilitates these services. The Participant understands that BA does not accept any responsibility or liability for the services provided to the Participant by the Health Providers. The Participant acknowledges the risks associated with obtaining the services from the Health Providers and accept those risks voluntarily;

c) consents to BA obtaining, on behalf of the Participant, any medical assistance, treatment and transport for the Participant as BA deems reasonably necessary. The Participant acknowledges and agrees that he or she will be responsible for any costs associated with any such medical treatment and/or transportation.

d) acknowledges that, subject to BA complying with relevant privacy and health records legislation:

(i) the Participant’s Database Information may be disclosed to the Health Providers, BA’s National Coach and other BA coaches or health professionals who require access to the Participant’s Database Information in the course of treating or coaching the Participant (including but not limited to health professionals outside Australia or at activities other than those sanctioned by BA); and

(ii) the Participant’s Database Information may be used by BA for the purpose of assessing and improving its programs or for research; and

e) acknowledges and agrees that:

(i) he or she has no proprietary rights to the Database, nor to any Database Information that concerns him or her which is entered into the AMS; and

(ii) if he or she ceases to participate in the Activities or revokes the above consents, BA will retain a copy of all Database Information for use in any subsequent relationship into which the Participant enters with BA and for the purpose of assessing and improving its programs, or, for research, and will otherwise deal with such Database Information in accordance with applicable legislation including the Privacy Act and the Health Records Act.
Collection, Storage and Use of Performance Related Information

The Participant acknowledges and agrees that BA will collect and store performance related data and information about the Participant (including but not limited to on the AMS), and that this information may be disclosed by BA to BA coaches and other professionals who are involved in coaching or training the Participant, as well as for the purposes of assessing and improving BA’s programs and research purposes.
Conduct Obligations

The Participant acknowledges and agrees that whilst he or she is participating in the Activities, he or she must:

(a) comply with all Badminton Australia policies, procedures, rules and regulations (which can be obtained at www.badminton.org.au or from BA Staff); and

(b) follow any lawful instructions or directions of BA.

If the Parent/Guardian of the Participant is attending the Activities they must also comply with the above policies.

The Participant acknowledges that if he or she (and/or his or her parent/guardian) breaches any BA policy, procedure, rule, regulation, direction, fails to follow any lawful instruction or direction of BA, or engages in any behaviour that, in the opinion of BA, has the potential to bring/s the Participant, BA, the Activities or the sport of badminton into disrepute, BA may take action including, but not limited to, suspending or dismissing the Participant from the Activities.

The Participant acknowledges and agrees that he or she is required to:

(a) give 100% in all matches, activities and training sessions and display fine sportsmanship at all times;

(b) display courteous and ethical behaviour both on and off the court; and

(c) comply with the information set out by BA.

(d) agree to being selected in BA Teams
Transport and Accommodation

The Participant may need to travel or to stay in accommodation to participate in the Activity or Activities and consents to BA organising any such transport or accommodation required on behalf of the Participant. The Participant acknowledges that BA organises such transport and accommodation as a goodwill gesture to assist the Participant to participate in the Activity. The Participant agrees to release BA from any liability related to these transport and accommodation arrangements.
Consent to Use Image

The Participant consents to BA, its State and Territory Badminton organisations, and its government and commercial partners taking the Participant’s image while the Participant is participating in the Activities. The Participant agrees that any such photographs, electronic images, sound recordings or video footage may be used by BA, its Member Associations and its government and commercial partners, in resources, reports, and/or in promotional, advertising or marketing materials, without any further notice or payment to the Participant.
Release and Indemnity

To the fullest extent permitted by law, the Participant agrees to release and discharge BA, its directors, officers, employees, volunteers and agents from all liability in respect to any loss or damage the Participant may suffer. Without limiting the foregoing, the Participant also agrees to release, defend, hold, harmless and indemnify BA and its directors, officers, employees, volunteers and agents from and against any actions, proceedings, claims, demands, expenses (including legal expenses), damages and liabilities howsoever arising from or incurred as a result of or in connection with the Participant’s participation in the Activities or in connection with any services provided by Health Providers.
Privacy

To assist us in the provision of products and services, we need to collect personal information about the Participant. When the Participant provides his or her personal information the Participant agrees that this will be used by Badminton Australia and other Australian Badminton Organisations under the terms of this statement, and the BA privacy policy located at www.badminton.org.au, which contains information about how the Participant may access and seek correction of the Participant’s personal information, or, complain about a breach of the Participant’s privacy and how we will deal with that complaint. If the Participant does not agree, the Participant must not provide the Participant’s personal information, and the Participant may be unable to access all of our products and services. We may disclose the Participant’s personal information to other parties, including our related companies, other Australian Badminton Organisations, and third parties who provide us services. From time to time, these third parties may be located (and therefore the Participant’s personal information may be disclosed) overseas.
Endorsed Activities

The Participant agrees that he or she will only participate in endorsed badminton competitions by Badminton Australia, badminton competitions endorsed by the State and Territory badminton organisations affiliated with Badminton Australia or club endorsed competitions where the club is affiliated with the State and Territory badminton organisation from the date of this agreement up to 6 months after the Activity ends.

Except where Badminton Australia provides written consent to participate in the non-endorsed activity. The Participant acknowledges that this is because of the risks related to the non – endorsed activity failing to meet the requirements set out in Badminton Australia’s insurance arrangements, child protection standards, anti-doping policy, anti match fixing arrangements and Member Protection Policy (anti-harrassment, anti-bullying and anit-discrimination)
Non-Disparagement

The Participant agrees that they will not disparage or encourage others to disparage Badminton Australia. For purposes of this agreement, the term disparage includes without limitation comments or statements made in any matter or medium including; at meetings with external parties to Badminton Australia, to athletes, parents, coaches, volunteers or officials; in the press and/or the media which would adversely affect any manner of the conduct of Badminton Australia, without limitations to the plans, prospects, or, reputation of Badminton Australia, Badminton Oceania or BWF.

Participant Agreement

By signing this Consent From, the Participant acknowledges and agrees that he or she has carefully considered the risk involved in participating in the Activities and that he or she has read, understood and agrees to being bound by the above terms and conditions. The Participant warrants that all information provided on this consent form is true and correct.

This consent form is signed as a deed poll in favour of Badminton Australia and is valid from the date of signing until the date the Participant no longer participates in the Activities or this consent is revoked in writing by notice to Badminton Australia.
Name of Participant*

First NameLast Name
Signature of Participant*

Clear
Parent/Guardian Agreement (required for all Participants under 18 years of age)
By signing this Consent From, you, as the parent/guardian of the Participant acknowledge and agree that you have carefully considered the risk involved for the Participant to participate in the Activities. You have read, understood and agree to the Participant being bound by the above terms and in consideration of the Participant being accepted to participate in the Activities and you give the same consents, release and indemnity as above. You warrant that all information provided on this consent form is true and correct.

This consent form is valid from the date of signing until the date the Participant no longer participates in the Activities or this consent is revoked in writing by notice to Badminton Australia.
Name of Parent/Guardian of Participant*

First NameLast Name
Signature of Parent/Guardian*

Clear
Should be Empty:

Nominating Player Details

Club Details

If player is under 18 Parent/Guardian contact details

Emergency Contact Details

Condition of Participation in the Activities

Parent/Guardian Agreement (required for all Participants under 18 years of age)