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Details

Para-Classification Application Form

No end date

Australian Sailing (Head Office), Sub Base Platypus, Suite 1001, Building 10, 118 High St, North Sydney NSW 2060

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Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Sailor Gender*

Date of Birth*

WS Sailor ID No - If you don't have a WS Sailor ID you will be required to register with WS.

Classification

Classification type

Date last classified

Previous Class and Status

Has there been any change in your health condition since last classification

If yes, please provide additional information

Details of Initial Diagnosis/Injury/Disability. Please provide the year of your initial diagnoisis. Max 255 characters

Other Medicial/Surgical History. Please provide brief description and year Max 255 characters

Medication

Please provide medication you will be taking during competition period Max 255 characters

Training History

How long have you been sailing?

How long have you sailed the present boat?

How often do you train?

What other physical training do you do? Note sport and training frequency. Max 255 characters

Assistive Devices

Used whilst Sailing Max 255 characters

Used whilst on land Max 255 characters

Additional Information

Please attach any other additional information the Classifier may require

Choose file...

Max 5MB

Event Waiver

I agree to undergo the Athlete Evaluation process detailed in World Sailing Para-Classification Rules and Regulations. I confirm that I am medically fit to participate in Athlete Evaluation.
I accept the criteria of eligibility, qualification and participation laid down by World Sailing Para-Classification Rules and Regulations.
I understand that Athlete Evaluation requires me to give my best effort and that failure to do so may result in me being disqualified from World Sailing events.
I agree to indemnify the classifiers from any injury, pain or suffering which may occur as a result of the testing during the Athlete Evaluation.
I agree to be videotaped and photographed during the Athlete Evaluation process and that may include my activity on and off the water during the competition.
I agree that Medical information may be held by Australian Sailing Para-Classifiers to support my Classification Sports Class and Sports Class Status. I agree to the disclosure of information relating to my function and performance by my designated coach(s) and/or family doctor and/or consultant(s).
I agree and consent to Australian Sailing processing my personal data in any format, including my full name, date of birth, sport, Sport Class and Sport Class Status. I agree and consent to my name, gender, country, year of birth, Sport Class and Sport Class Status being published by Australian Sailing and shared with third parties such as the event organisers.
I understand that I have a right to access and correct the Personal Data that Australian Sailing holds about me under data protection law and that I may withdraw this agreement at any time which will result in me no longer being eligible to compete in Australian Sailing Competitions.
I wish to assist Australian Sailing and World Sailing in developing the Para-Classification system and therefore allow my data collected during athlete Evaluation, photographs and video material recorded be used for research and educational purposes by Australian Sailing and World Sailing. I understand that I may withdraw this consent at any time.

I agree to the Event Waiver.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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