2025 Gymnastics SA State Representative Nomination Form

2025 Gymnastics SA State Representative Nomination

Nomination Form
This form is to be completed by all athletes and officials who wish to be considered for a position on the Gymnastics SA State Representative Team.

Completion of this form does not constitute selection on the team, please refer to the relevant gymsport selection policy/criteria for further information regarding the selection process.

Please ensure that the information in the form matches that contained in the Gymnastics Australia online membership database. In any instance where this information does not match, you may be required to re-submit your nomination. Please ensure you or your club have/has entered your personal details correctly before completing this form.

It is the responsibility of the person submitting the form (or parent/guardian if under 18) to check and ensure ALL personal details are entered correctly before submitting.

Please read the 2025 State Representation Competition Information and Selection Criteria handbook available from the Gymnastics SA Website prior to completing this nomination form.
Nominee Full Name*

First NameLast Name
Nominee Date of Birth (dd/mm/yyyy)*

DayMonthYear
Date
Nominee Email*

Confirmation Email(for all team information and accounts)
Nominee Mobile Number*
0412 345 678
You will be required to have a parent/guardian sign. Please ask them to assist you in completing this form.
Parent Full Name

First NameLast Name
Parent/ guardian Email (if under 18)

Confirmation Email(for all team information and accounts)
Parent Mobile Number
0412 345 678
Club*
Which event/s are you nominating for?*

2025 Bigham Cup2025 Special Olympics SA Team
What Team Member Position are you nominating for?*
Funded/Independent Position
(for Official appointments only)
Membership ID Number*
(if unknown, ask your club or Gymnastics SA)
When nominating for the Special Olympic State Team, please select Gymsport as Special Olympics (SO).
Gymsport
Which SO Level are you nominating for?
Which AER Level are you nominating for?
Which DMT Level are you nominating for?
Which MAG Level are you nominating for?
Which RG Level are you nominating for
Which TRP Level are you nominating for?
Which TUM Level are you nominating for?
Which WAG Level are you nominating for?
Official Gymsport
Official Accreditation
(for Coach and Judge appointments only)

POLICIES AND DOCUMENTS
I have read, and agree to abide by, all GSA and GA policies including*

2025 State Representation Competition Information and Selection Criteria (GSA)National Integrity Framework (GA)National Event Entry Policy (GA)
State Representative Team Policies and Documents can be found on the Gymnastics SA website here and here.
WORKING WITH CHILDREN CHECK
All Athletes over the age of 18 must have a current Working with Children Check (WWCC).

All officials over the age of 14 must obtain a working with Children’s check (WWCC) **
I have, or agree to obtain, a Working with Children Check prior to the date of departure*

I have a valid Working with Children CheckI agree to obtain a Working with Children Check
I hereby agree to attend all meetings required by the Team Manager, including*

Team MeetingsTeam Training Sessions
As an Athlete, I agree to complete the online course listed below prior to travelling*

Sport Integrity Australia - Anti-Doping Fundamentals Course
Please use the link below for information on the required online courses.

Sport Integrity Australia
Completed online course certificates can be held and stored by you, the athlete or official and if asked to present for proof of completion you will be expected to do so.
(1) If you have completed The ASADA Level 1 Online Anti-Doping Course previously, you are not required do it again (the course does not have an expiry date)

GYMNASTICS SA REPRESENTATIVE TEAM AGREEMENT
I agree that if selected as a member of the Gymnastics SA State Representative Team travelling to the event on this nomination form, to travel, stay with, attend, compete and/or participate and perform my duties, fulfil my purpose and conduct myself at all times at the said event, and its associated trials or displays, meetings and official commitments as applicable.

I accept the following responsibilities:
- To remain under the authority of the Team Manager or person appointed by them from the date of assembly until my return to South Australia, or official release from the team.
- To be prepared to participate in required training sessions/camps, meet prescribed departure times, training schedules, uniform requirements and other details as determined by Gymnastics SA, Team Manager or person appointed by them.
- Time schedules as they pertain to departure dates, times, flights, training times and other requirements for team members shall be absolutely met, and further, adherence to such schedules shall be the responsibility of each individual team member, after having received such information from the Team Manager or person appointed by them.
- To conduct myself in a proper manner and to offer myself in a prepared physical and psychological state which will ensure I can exercise to the best of my endeavours the duties, responsibilities and purposes for which I have been selected.
It must be clearly understood by all team members that to breach any of the rules as set forth above may be potential cause for dismissal from the team, regardless of the method used for selection of that team. Such dismissal may result in the team member being sent home prior to the conclusion of the event, or depending upon timing, be removed from the team prior to departure. Any team member dismissed from the team will incur all costs associated with doing so.
If selected as a member of the Gymnastics SA State Representative Team, I agree to*

Accept my position by submitting a Position Acceptance Form emailed to youTo purchase all uniform items and wear them in accordance with team regulationsPay all costs invoiced to me in full, on or by, the invoice due date
Thank you for completing the Gymnastics SA State Representative Team Nomination Form. Please review the above information to ensure that your details are correct before submitting this form.

By signing below I agree with all the terms and conditions within this form.

(For athletes under 18, a parent/guardian will be required to sign on the next page)
Nominee Signature (use your mouse)*

Clear
Date signing (dd/mm/yyyy) *

DayMonthYear
Date

FOR GYMNASTS UNDER 18

Acceptance for gymnasts under 18 years of age must be signed by a parent/guardian.
Parent/Guardian Signature (use your mouse)

Clear
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Mobile Number
0412 345 678
Date signing (dd/mm/yyyy)

DayMonthYear
Date

To complete your Gymnastics SA State Representative Team Nomination Form, please select the [Submit] button below
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2025 Gymnastics SA State Representative Nomination

UNIFORM REQUIREMENTS

POLICIES AND DOCUMENTS

WORKING WITH CHILDREN CHECK

GYMNASTICS SA REPRESENTATIVE TEAM AGREEMENT

FOR GYMNASTS UNDER 18