Elite Athlete Scheme

It is important that you read the Guidance Notes attached before completing this form. If you have any further queries, please do not hesitate to contact the Sport & Wellbeing Development Unit; Sports Development, Causeway Coast and Glens Borough Council.

Section 1


Section 2

e.g., U-18, U-21, Senior and Veterans etc
coach/manager

Section 3

If yes, please provide the following information:

Name of Organisation/funding body providing assistanceNature of assistance e.g., amount of funding Duration of assistance e.g., one off payment, 1 year agreement etc. (Please provide dates) 

Section 4

Please state within the last 12 months

Competition/EventVenueDate 
Country/Team RepresentedCompetition/EventDate 
Country/TeamCompetition/EventVenueDate 

Section 5


Declaration:

  • I certify that the information provided is true, accurate and complete.
  • I understand the terms and conditions of the Elite Athlete Scheme.
  • I hereby agree to abide by the rules and administrative arrangements as laid down by the Elite Athlete Scheme Guidance Notes.
  • If successful in receiving Elite Athlete Scheme membership, I hereby agree to participate free of charge in any promotional and marketing activities relating to Council Leisure / Recreation Facilities as requested.
(To be signed by parent/guardian for applicant under the age of 18)
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