2026 Unisport Nationals

2026 Unisport Nationals

Personal Information
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Student ID Number
FAN
Date of Birth

DayMonthYear
Date
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Course of Study
Expected year of study completion
Participation Status
Event
Choose Athletics Event
Choose Snow Event
Chosen Nationals Sport
Medical Information
Medicare Number
Medicare Reference Number
Medicare Valid Date

DayMonthYear
Date
Health Care Provider & Membership Number
Emergency Contact

First NameLast Name
Relation
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Number
Please enter a valid phone number.Format: (000) 000-0000.
Pre-existing Health Condition(s)
Medication to travel with (i.e puffer for asthma)
Allergies
Current/Niggling Injuries
Bank Details (For uniform bond refund if required)
Account Name:
BSB:
Account Number:
Additional Info
Polo / Competition Shirt Size
Competition Shorts Size
Please attach: Flinders University Participation Agreement (Step 2)

Cancelof
I have read and understood the Participation Agreement, therefore by ticking the box, I agree to the Terms & Conditions outlined.
Signature
Should be Empty:

Medical Information