SAAL New Athlete Registration

To register for the current season, please complete the following form with your details.

NOTE: This form is for new members only or for any athlete who hasn't registered with SAAL using the online system.

Returning members should use the membership renewal page here.

• If you have forgotten your password you can request a new one here.
• If you are unable to access your existing details because you have forgotten your username and password please contact the office - Please do not create a new membership.

Interstate athletes who are registered with their home state leage (eg. VAL) recieve free regestration with the SAAL that is valid for as long as they are financial with their home league.

Please go here to register as an interstate athlete

Personal Details

First Name*:
Surname*:
Street Address*:
Suburb*:
Post Code*:
Phone (H)*:
Phone (W):
Phone (M):
Email*:
Emergency contact name*:
Emergency contact number*:
Occupation:
Employer:
Date of Birth*:	Select Month January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Do you attend school:	Select One Yes No
The School you attend:
Gender*:	Select One Female Male
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 ProjectWarren Fuss - FlindersRobin Gorringe - InSync AthleticsDavid Gross - FlindersNik Hagicostas - Adelaide Sprint ClubMichael Hane - Victoriam CelerJordan Harvey - FlindersLuke Hildyard - Coastal Districts Athletic ClubRobbie Killmier - FlindersFrank McHugh - CamdenDebbie Meich - Impact SquadSimon Moran - Accelerate Performance RunningAnne Marie Mouri Nkeng - Anne Marie Mouri NkengMichael Nitschke - Adelaide Milers CrewDave Palmer - DPAGaby Philis - AADCharles 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*:	Select One Male Athlete - $256Self Trained Athlete - $271Female Athlete - $256Female Self Trained Athlete - $271Under 18 Athlete - $209Over 35 Athlete - $204Over 35 Self Trained Athlete - $219Coach Only - $78Coach/Athlete - $256Para Athlete - $78Athlete With a Disability Self Trained - $93Under 14 Athlete - $151Life Member - $0One 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
Discount Code:

Declarations

	I agree that the SAAL may pass on my personal information to other persons or sporting bodies if required.
	I shall abide by the Rules, Constitution and Policies of the SAAL.*
	I declare that I have not tested positive to a banned substance within the last 2 years.
No Yes	Have you ever been found guilty of a criminal conviction.
If you answered yes above, please provide details:
	In submitting this form I acknowledge and consent to photographs, video and electronic images being taken of me during my participation in SAAL Events events by an official representative of SAAL. I acknowledge and agree that such photographs, video and electronic images are owned by SAAL and that SAAL may use the photographs and video for promotional or other purposes without my further consent being necessary. Further, I consent to SAAL using my name, image, likeness and also my performance in any SAAL Event, at any time, by any form of media, to promote the event and SAAL. SAAL is not responsible for photographs, video and electronic images taken by persons who are not an official representative of SAAL.