Polly MatonWheelchair sprinterSeated Shot Put at PerivaleKemlyn Shard Special Olympics Warsaw 2010 PS

England Athletics are committed to supporting disabled people to participate in athletics in 2014.

Please complete this form to help us to support you appropriately and provide the right information about your disability athletics pathway.

Taking part in Athletics

22





23
24
25
26
27
28
29
30

If the athlete is under the age of 18 years this form should be completed and returned by the parent or person in ‘Loco Parentis’. However the information must be agreed by the athlete as well.  Entering details below will be regarded as a signature.

31
32
33