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Closes
31 Oct 2025
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Athlete Profile
Athlete Profile
Surname *
Surname
(Required)
Forename *
Forename
(Required)
DOB (DD/MM/YYYY) *
DOB
(Required)
Gender *
Gender
-- Please Select --
Male
Female
Place of Birth *
Place of Birth
(Required)
If POB outside NI how do you meet criteria to represent NI?
POB
Country you represent *
(Required)
Northern Ireland
Ireland
Great Britain
Occupation: Please tick which of the following you are involved with: *
(Required)
School
University
Full time employment
Part time employment
Other
Please state the educational course or field of work that you are involded in:
educational course
Address * (If current address outside of NI please provide NGB training centre in NI)
Address
(Required)
If current address outside of NI please provide Home address here.
If current address outside of NI please provide Home address here.
City / Town *
City / Town
(Required)
County *
County
(Required)
Postcode *
Postcode
(Required)
Mobile Number *
Mobile Number
(Required)
Email Address *
Email Address
(Required)
Athlete Facebook page
Facebook
Athlete Twitter account
Twitter
Athlete Instagram Account
Instagram
Emergency Contact Name *
Emergency Contact Name
(Required)
Emergency Contact relationship to athlete *
Emergency Contact relationship to athlete
(Required)
Emergency Contact Email *
Emergency Contact Email
(Required)
Emergency Contact Address
Emergency Contact Address
Emergency Contact Mobile Number *
Emergency Contact Mobile Number
(Required)
Emergency Contact Daytime Number
Emergency Contact Daytime Number
Do you have private medical insurance? Please tick as appropriate *
(Required)
Aviva
BUPA
VHI
Other
No Cover
Unsure
If you have private medical insurance please select the date on which it expires (DD/MM/YYYY)
private medical insurance please select the date on which it expires
GP Name *
GP Name
(Required)
GP Address *
GP Address
(Required)
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