Interstate Athlete Registration

To register with the VAL, please complete the following form with your details.

NOTE: Interstate registration is free of charge, BUT Interstate athletes wishing to compete in VAL events MUST be registered with the athletic league in their home state before nominating for race meetings.

You will only need to complete this process once, interstate registration does not expire, but you do need to hold current registration with your local league any time you wish to compete with the VAL

Personal Details

First Name*:
Surname*:
Street Address*:
Suburb*:
State*:	Select One South Australia New South Wales Queensland Western Australia Tasmania Australian Capital Territory Northern Territory
Post Code*:
Phone*:
Email*:
Emergency contact name*:
Emergency contact number*:
Occupation:
Employer:
Date of Birth* (yyyy-mm-dd):
Gender*:	Select One Female Male
Coach:
Club:
Select your home ID type	SAAL ASA
SAAL ID:
ASA ID:

Declarations

	I agree that the VAL may pass on my personal information to other persons or sporting bodies if required.
	I shall abide by the Rules, Constitution and Policies of the VAL.*
	I declare that I have not tested positive to a banned substance within the last 2 years.
No Yes	Have you ever been found guilty of a criminal conviction.
If you answered yes above, please provide details:
	In submitting this form I acknowledge and consent to photographs, video and electronic images being taken of me during my participation in VAL Events events by an official representative of VAL. I acknowledge and agree that such photographs, video and electronic images are owned by VAL and that VAL may use the photographs and video for promotional or other purposes without my further consent being necessary. Further, I consent to VAL using my name, image, likeness and also my performance in any VAL Event, at any time, by any form of media, to promote the event and VAL. VAL is not responsible for photographs, video and electronic images taken by persons who are not an official representative of VAL.