Name *

First Name

Last Name

School Phone Number *

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Mobile Phone Number *

(###)

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Is your school one of the following: *

- A school which is a member of IAPS or CSA - A senior school with an associated junior school or department which is a member of IAPS or CSA - A school which has already taken part in the National Championships (including its selection meetings) for five years or more.

Yes

No

Teacher in charge of athletics *

First Name

Last Name

Boys School? *

Yes

No

Girls School? *

Yes

No

I acknowledge the LPSA fee to register is £80 (12 athletes or less) or £120 (13 athletes or more) *

Yes

No

I acknowledge the NPSA fee per athlete is £10 per athlete if he/she gets selected for the London Area. School managers are in charge of calculating this fee and arranging the relevant funds to be transferred to the LPSA account *

Yes

No