Exemption Form - Bay of Plenty and Coromandel Representative Team

Team Exemption Form

Please complete this exemption form if you are not able to attend the selection events outlined in the Selection Policy and still wish to be considered for selection into a Bay of Plenty or Coromandel Representative Team for the 2019 New Zealand Representative Challenge.

The 2019 New Zealand Representative Challenge Bay of Plenty and Coromandel Selection Policy can be found on the SLSNZ Website here.

Please contact Scott Bicknell - Interim Sport Manager Eastern Region at scott.bicknell@surflifesaving.org.nz or 027 327 7339 if you have any queries.

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* 1. Name

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* 2. Email

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* 3. Contact Number

For those athletes who are not able to attend the specific selection events who still wish to be considered for selection, the Specific and General Criteria which may be considered by the Selectors are outlined below. Please provide as much relevant information as you can about you/your training/competition results in the spaces below for consideration by the selectors.

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* 4. The performance and results of the athlete, or the team in which the athlete was a member, (including consistency of performance and results), in the current seasons events, competition and activities:

Discipline, Event and Result

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* 5. Versatility in a range of disciplines and/or in a range of positions within a team:

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* 6. Adequate fitness and commitment to maintain a fitness and training programme:

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* 7. Demonstrated compatibility with others in a team environment:

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* 8. Demonstrated compliance with the rules of events and competitions:

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* 9. Understanding and respect for the position on a team or squad:

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* 10. Willingness to promote surf life saving in a positive manner:

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* 11. Demonstrated ability to take personal responsibility for self and their results:

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* 12. Proven ability to be reliable:

Please be aware: In considering any of the above factors, the Selection Committee may make such enquiries of the athletes seeking selection or others, as it sees fit.