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Further Enquiries

Counselling, Disability and Elite Athlete Services
Horace Lamb Building
North Terrace Campus
THE UNIVERSITY OF ADELAIDE
SA 5005
AUSTRALIA
Email

Telephone: +61 8 8313 5663
Facsimile: +61 8 8313 6463

Elite Athlete Registration Form

To be eligible for the services outlined on this website, you must register with EASIS each year.

Complete all the fields in the following online form before selecting the 'Submit' button or you'll have to re-enter all your details again. It takes about 10-15 minutes to fill out the form properly. If you encounter problems with the form, we suggest you copy and paste the fields into a Microsoft Word document, save it and attach it to email addressed to eliteathlete@adelaide.edu.au.

You will be contacted to arrange an appointment to confirm your Elite Athlete status.

Please Note!
Do not hit the 'Enter/Return' key on your keyboard or the 'Back' button on your browser before filling out all fields and submitting the form. Doing so will take you to an error page and when you return to the form all the fields will be cleared.

Due to an temporary technical problem, if you do not receive a 'completed' notification after submitting the form ,  please try again or contact the office on 8303 5663

Your name (i.e. given name and family name)
Student number (i.e. a1234567)
Date of birth (dd/mm/yyyy)
Gender Female
Male
Academic program/s
Year level/s
Study load (full-time, part-time) Full-time
Part-time
Contact hours hours
Year first enrolled at the University of Adelaide
Postal address during semester

c/o -:

Number: Street: 

Town/Suburb:

Post Code: State:

Contact number (mobile preferred)
Email address (student address preferred)
Sport(s)
Sport contact person (name and role, e.g. coach, manager, federation administrator)

Name:

Role:

Phone No:

Sports scholarship none
Australian Institute of Sport
State Institute of Sport
Competitive Level (please identify the levels of competition that you have competed at and when)

State competition, in year:
National competition, in year:
Commonwealth Games, in year:
World Games, in year:
Olympic Games, in year:
Paralympics, in year:
Other, in year:
If 'Other', please describe:

What is the highest level of competition you hope to compete at? When? in the year:
Outline your typical training week.
When do you anticipate being absent during the academic year due to any competitions or training camps? 
Please ensure all your details are correct before submitting the form!