CLASSIFICATION OPPORTUNITY Athletics

9th November 2013

WA Athletics and the APC are conducting a classification opportunity in Perth WA for athletes with a physical impairment wishing to be classified for athletics. Athletes will be assessed for a National Classification, enabling eligible athletes to compete up to and including National Championship events in their sport. Who can attend? Athletes with a physical impairment wishing to compete in athletics events against other athletes with a disability. Further information about classes and eligibility for athletics may be found on the Athletics Australia website; http://www.athletics.com.au/home/community/awd_community Athletes age 8 years and above are encouraged to attend. Date: Location: Parking: Cost: Registration: 9th November 2013 from 9.00am Classification usually takes between 45 - 60 minutes. WA Athletics Stadium Stephenson Ave Mt Claremont Parking is available in public car park on site There is no cost to attend classification. Bookings are required in advance and limited places are available complete attached form and return to stephen.s@waathletics.org.au For further information please contact greg.omay@paralympic.org.au or stephen.s@waathletics.org.au

Contact:

What do I need to bring? Athletes will be provided further information about preparing for National Level Classification following registration for classification. Information is also available on the Athletics Australia website. Athletes should bring a letter from their medical specialist (eg neurologist, rehabilitation specialist, orthopaedic specialist) stating and outlining their diagnosis. Classification sessions are limited, book early to avoid disappointment

CLASSIFICATION OPPORTUNITY Athletics

9th November 2013 Request for Athlete Classification
Athlete Personal Details Surname: Date of Birth: ___/___/_______ Address: Suburb: State: Phone (h) E-mail: Previous Classification in athletics: Yes No Please list:_____________________ Yes No Please list:_____________________ First Name: E-mail: Postcode: Phone (mob): Age: First Name: Gender: M / F

Previous Classification in another sport: Parent or Guardian (if under 18) Surname: Relationship to Athlete: Phone: Disability Information* Impairment Type: Physical Impairment Medical Diagnosis:

Vision Impairment

Intellectual Impairment

Is your medical condition: Congenital Acquired (if yes, Date of Onset:__________________) Description of functional impairment / disability:

Other Disabilities / impairments:

*please note you will be required to bring medical documentation to the classification session which outlines your diagnosis

Sport details How long involved in this sport? Number of training sessions / week Club Coach Please return this form to: Organisation: WA Athletics Email: info@waathletics.org.au Contact Name: Stephen Stingemore Contact Number: 08 6272 0480