Performance Athletics Enquiry FormFull NameDate of BirthDD-MM-YYYYGenderPlease selectMaleFemalePrefer not to sayMobile NumberAddressNationalityParent/Guardian NameParent/Guardian EmailRelationship to athleteParent/Guardian Telephone NumberSchool/CollegeDegree you intend to studyPredicted GradesOther universities you are interested inCurrent Club (if applicable)Current CoachCompetition StandardNational/Regional/County/Club/SchoolBest Evente.g. 100m BreaststrokeBest TimeE.g. 74.14Competitive AspirationsHave you attended an open day at Birmingham?Please selectYesNoWould you be interested in a training day or Zoom call with our Head Coach?Please selectYes – Zoom CallYes – Training DayNoSendThis field should be left blank
