Register

First name*

Last name*

Email*

Address*

Suburb*

Post code*

Phone number*

Emergency contact name*

Emergency contact number*

Date of birth*

Gender* Please select a gender Male Female Prefer not to say

Coach* Please select a coach Self Trained Parent - Under 18 ParentAndrew Beck - Adelaide VelocityPJ Bosch - AH EliteLeigh Bowbridge - Glenelg LightningAngus Brock - Keyneton Track SquadPeter Burdett - Grange Track SquadIan Burge - Grange Track SquadGreg Cameron - Andrew Chandler - Coastal Districts Athletic ClubRiley Cocks - RunAsOneShane Danaher - Peter Deane - Peter Deane ProjectAdam Didyk - Team TempoWarren Fuss - FlindersRobin Gorringe - InSync AthleticsDavid Gross - FlindersNik Hagicostas - Adelaide Sprint ClubMichael Hane - Victoriam CelerRussel Hansen - Jordan Harvey - FlindersLuke Hildyard - Coastal Districts Athletic ClubRobbie Killmier - FlindersLynn Larsen - Lynn LarsenFrank McHugh - CamdenDebbie Meich - Impact SquadSimon Moran - Accelerate Performance RunningAnne Marie Mouri Nkeng - Anne Marie Mouri NkengMichael Nitschke - Adelaide Milers CrewDave Palmer - DPAGaby Philis - AADDan Semmler - AAACharles Sheffield - WASpSKym Steer - Brighton BombersRuby Sulicich - Team TreleavenPaul Sutcliffe - FlindersPaul Taylor - TNT Athletic DevelopmentGary Thompson - ReynellaPaul Young - Young Guns

ASA ID

VAL ID (Find your VAL ID here)

Registration type* Please select a registration type Male Athlete - $128Self Trained Athlete - $135.5Female Athlete - $128Female Self Trained Athlete - $135.5Under 18 Athlete - $104.5Over 35 Athlete - $102Over 35 Self Trained Athlete - $109.5Coach Only - $78Coach/Athlete - $256Para Athlete - $39Athlete With a Disability Self Trained - $46.5Under 14 Athlete - $75.5One Day Registration (Does not include Bay Sheffield) - $30Associate Member - $103 Meeting Membership (Does not include Bay Sheffield) - $53Parent - $03 Meeting Distance Membership - 3 SAAL meets including the Bay Sheffield over the 1600m and 3200m distances only - $53

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First name*

Last name*

Email*

Address*

Suburb*

Post code*

Phone number*

Emergency contact name*

Emergency contact number*

Date of birth*

Gender* Please select a gender Male Female

Registration type* Please select a registration type Coach - $78 Coach/Athlete - $256

Are you registered with Athletics Australia?* No Yes

Are you taking on new athletes?* No Yes

Are you taking on junior athletes?* No Yes

Current Coaching Qualifications

Training Venue

Squad Name

Training days and times

Distances coached:

Sprints: Middle: Distance:

Can the League publish your name, photograph, email, mobile phone number and training venue/times? No Yes

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