What is your full name?*

What is your University of Adelaide 'a' number?*

What course are you studying?*

What year of study are you in?*

Which event are you registering for?* Please select... Triathlon - 26-27 April Athletics 22-24 April Swimming 16-18 May Distance Running- 06 July Indigenous Nationals 08-12 July 3x3 Basketball TBC T20 Cricket TBC UniNationals TBC

Please indicate the sport(s) your are interested in coaching (if relevant)*

Please choose "Stand-alone Events" for Triathlon, Athletics, Swimming, Distance Running, 3x3 Basketball, T20 Cricket

Do you have any medical conditions that may affect your ability to compete in the competition?* Please select... Yes No

Please give as much detail as possible*