Free Trial Request

Athlete/Member details

Athlete First Name(Required)

Athlete Last Name(Required)

Athlete Gender(Required)

Athlete: Date of Birth(Required)

Athlete Current School Year, as appropriate

Name of School Attended(Required)

Preferred Venue(Required)

Preferred Training Day (Clevedon Only – use CTL Key to select multiple days)

Any Prior Athletics Experience, please detail such as School Cross-Country, Parkruns, etc

Are you interested in cross-country running and/or 800m/1500m track racing? Yes/No answer

Are you looking to compete?

Any Medical Conditions to Disclose(Required)

If Yes, please disclose any relevant information

Parent/Guardian details

First Name(Required)

Last Name(Required)

Email address(Required)

Contact phone number(Required)

Are you able to help out as a Volunteer

If Yes, please indicate primary area of interest

How did you learn about NSAC and decide to request a free trial?

Images: Do you give permission for your child's image, taken during training sessions and/or at competitions to be used on the club's website and social media pages?

Message box for anything else you'd like to add

Free Trial

Athlete/Member details

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