2023 - Meet Exemption Request Form
I am requesting this exemption for myself?
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Yes
No
Submitter Name
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First Name
Last Name
Relationship To Athlete
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Submitter Email
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example@example.com
Athlete Name
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First Name
Last Name
Athlete Email
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example@example.com
Athlete Phone Number
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-
Country Code
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Area Code
Phone Number
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I wish to request an exemption from the selection trial or national championships for the following nominated teams.
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Olympic Games
Paralympic Games
World Athletics Championships
World Para Athletics Championships
Commonwealth Games
World Athletics Indoor Championships
World Athletics Relay Championships
World Athletics Road Running Championships
World Athletics Racewalking Teams Championships
World Athletics Cross Country Championships
World Athletics U20 Championships
Commonwealth Youth Games
Youth Olympic Games
Pacific Games
Pacific Mini Games
Oceania Athletics Championships (Senior Team Only)
Melanesian Games (Senior Team Only)
FISU World University Games
FISU World University Cross Country Championships
I wish to request an exemption from the following domestic events.
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Australian 35km Race Walk Championships (4 Dec 2022)
Zatopek:10 (15 Dec 2022)
World Athletics Race Walking Tour Silver: Race Supernova #1 (6 Jan 2023)
Australian Open Wheelchair Championships (20-22 Jan 2023)
World Athletics Race Walking Tour Silver: Race Supernova #2 (2 Feb 2023)
Australian 20km Race Walk Championships (12 Feb 2023)
Australian Masters Track & Field Championships (10-13 Feb 2023)
Australian U20 and Open Track and Field Championships (30 Mar-2 Apr 2023)
Stawell Easter Carnival (7-10 Apr 2023)
Australian Junior Track & Field Championships (13-16 Apr 2023)
Is this exemption sought for a medical reason?
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Yes
No
Please provide details of reason for your request.
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Please upload your written submission for your exemption request.
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If your reason is medical, please provide any appropriate certificates or letters.
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