Language
English (UK)
Athletics NI Club Structure 2022-2023
Club Name:
Club Email Address:
Club Website (if applicable):
Please Select the disciplines your club caters for:
Road Running
Cross Country & Fell Running
Track & Field
Mountain Running
Para Athletics
Training Venue(s):
Club Committee Members
President
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Chairperson
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Tresurer
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Secretary
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Registration Secretary (if different from above)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Welfare/ Safeguarding Officer
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Lead Coach
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Lead Junior Coach (if applicable)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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Club Membership Details
Club Members 8-16 years old
Club Members 17+ years old
Club Coaches- LiRF (Leader in Running Fitness)
Club Coaches- CiRF (Coach in Running Fitness)
Club Coaches- Coaching Assistant
Club Coaches- Athletics Coach
Please state if any of your Club Coaches hold an Athletics Ireland Qualification:
Should be Empty:
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