National Centre Enquiry Form
National Centres are aimed at those athlete’s with a realistic chance of representing Great Britain at Junior or Senior level (not Masters) including, but not limited to, Olympic Games and World Championships.  
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Name *
Date of Birth *
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Nationality *
Are you eligible to represent GBR *
If you are not elibigle to represent GBR your application will not be processed
Current Address, including postcode:
Contact Phone Number
Email Address *
Current Club *
Main Event PB (Long Course) *
Time and Date Achieved
ASA, WASA or SASA Membership Number *
If you do not have this please indicate
Second Event PB (Long Course)
Time and Date Achieved
Open Water
If focus is Open Water please provide a summary of your top 3 races i.e. (Name of competition/date/distance/finishing position)
Coach *
Coach Email Address
Current Height (cm)
Mother's Height (cm)
Father's Height (cm)
Shoe size
Are you currently suffering from an illness that has forced you to miss or modify your pool or land training?
If Yes – how many days have you been suffering from this injury?
Are you suffering from an injury that has forced you to miss or modify your pool or land training?
If Yes – how many days have you been suffering from this injury?
In the last 6 months how many pool and land training sessions have you missed due to injury?
In the last 6 months how many pool and land training sessions have you missed due to illness?
In the last 6 months how many pool and land training sessions have you had to modify due to injury?
In the last 6 months how many pool and land training sessions have you had to modify due to illness?
Current weekly training volume (metres) *
How many hours a week do you spend on average in the following areas
Swimming Long Course
Swimming Short Course
Land Training (Stretching)
Land Training (Resistance Weights)
Land Training (CV / None weighted exercise)
Travelling to Training (approx.)
1
2
3
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Clear selection
Sports Science Support
Please note any Sports Science support you currently receive, and how regularly how access this service.
Weekly
Fortnightly
Monthly
Bi-annually
Less than Bi-annually or never
Physiotherapy
Soft Tissue Massage
Strength & Conditioning
Nutrition
Psychology
Clear selection
National Centre of Interest
You can choose more than one
Current work status
If not already at University/College which are you planning to go to and when?
Any other relevant information:
I understand that I am not guaranteed a place at a National Centre, and that an offer of a National Centre placement will be decided by the relevant National Centre Coach in consultation with the GB Head Coach, Head of Performance Pathay and National Performance Director. *
Please check boxes below to confirm.  You must confirm that your coach is aware of your application.  If this section is not properly completed your application will not be processed.
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