Junior & U23 Sprint Champs Nomination Form

Full Name

CSA Number

ID Number

Passport Number

Date of Birth (DD/MM/YY)

Passport Expiry Date (DD/MM/YY)

Email

Phone

Under 23 Men's Races: Please select which race/s you will enter

Under 23 Women's Races: Please select the race/s you will enter

Junior Men's Races: Please select which race/s you will enter

Junior Women's Races: Please select the race/s you will enter

Full Name of Parent should paddler be 18 years or younger at time of submission

Parents email address

Parents Cell Number

By selecting yes, the parent/guardian gives consent for their child to be selected for the national team

Yes

No

INTERVIEW AND PHOTOGRAPHY OF CHILDREN CONSENT FORM FOR PARENT/GUARDIAN

By selecting yes, I agree and accept the above request

Yes

No

INTERVIEW AND PHOTOGRAPHY OF CHILDREN CONSENT FORM FOR CHILD

By selecting yes you agree and accept the above request

Yes

No

Terms and Conditions

I hereby acknowledge that:
1. I have read and understood the Selection Handbook as well as the CSA Bylaws and acknowledgethe terms, conditions and obligations contained therein, and which terms, conditions and obligations are imposeduponmeasure as a result of my selection to a team;
2. I have been provided with a copy of the Canoeing South Africa Selection Procedures and the South African Team Selection Criteria Supplement for the South African Team to compete in the events. I agree to abide by the terms and conditions of these Selection Policies.
3. There will be some personal expense involved in attending the Selection Events, camps, events and tours as outlined in the Selection Handbook and I accept full responsibility for my expenses. I understand that I will not be eligible to travel with the team nor compete in events if I have any of these monies outstanding on the date of departure of theteam.
4. I hereby state that on day of entry/nomination: (a) I am  afully paid up current member of a canoe club affiliated to a provincial union member of CSA; (b) I do not have any outstanding accounts with CSA that are in arrears; and (c) Iagree that I shall meet the ICF’s eligibility requirements.
5. I am subject to drug testing by the South African Sports Drug Agency and/or ICF,and will comply with both Canoeing South Africa’s and the International Canoe Federations Anti-Doping Bylaw; and
6. I will maintain a designated level of fitness as determined by Canoeing South Africa and a standard of competitiveness prior to the relevant event or which I have been selected and will not participate in any races or event unless sanctioned by the Sprint Committee.
7. No drinking of alcohol is permitted by juniors while on overseas tours or attending training camps in South Africa. Should a junior be found to have been drinking he or she will be expelled from the team, sent home immediately and, subject to confirmation at a Disciplinary Tribunal, be stripped of any National or Federation Colours.
8. Any athlete selected to represent South Africa or the Federation shall conduct him or herself with the dignity and decorum as befits a representative of one's country or Federation. Failure to do so will result in the athlete being expelled from the team and, subject to a Disciplinary Inquiry, be stripped of any National or Federation Colours awards.
9. I agree to abide by the Athlete Code of Ethics as stipulated by the points provided at the end ofthe Nomination Form.
10. By your and your parents or legal guardian signing this document you are acknowledging that you have read and understood the consequences of misconduct as mentioned in point 8.1. of Section A.

I hereby acknowledge the above

YES

NO

By saying yes you understand and agree to the terms above.