Team Jersey - Athlete Declaration

By completing this form you agree for your details to be passed onto the Jersey Team Manager and RLSS UK. Your details will be used for communication on representing Jersey at the Commonwealth Championships.

For more information about RLSS UK Privacy Policy please visit www.rlss.org.uk/privacy-policy

Name (required)

Email Address (required)

Date of birth (required)

Address including postcode (required)

RLSS UK Membership Number: (required)

Athletes Declared Competition Experience.

Please list your competition history including which years e.g. RLSS Speeds event 2015, 2017, 2018. (Include competitions such as RLSS National Lifesaving Championships, RLSS Speeds events and other events such as SLSGB, SPEED Series, BULSCA etc.)

Athletes Declared Results (required)

I am declaring for the National Team

I confirm that, if I am selected for Team Jersey, I will pay an initial deposit of £100 within 7 days of the team announcement to individuals and the full payment must be paid to RLSS UK by 31/10/2019. (required)

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