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* 1. Name

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* 2. Age

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* 3. Sex

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* 4. Email Address

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* 5. Please describe any previous sporting experience you have had & what do you consider as your best sporting achievement to date?

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* 6. Please describe what you know about Paracycling.

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* 7. Do you currently cycle?

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* 8. Would you be interested in pursuing a long-term journey towards High-Performance Paracycling?

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* 9. High-Performance sport requires dedication and commitment, how many hours a day would you be able to commit to training?

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* 10. Is your disability from birth or acquired? Please name the disability (if possible).

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* 11. If your disability is acquired, when did this happen?

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* 12. Please provide a Summary explanation of why you have applied and what attributes/characteristics you feel you can bring that make you suitable for a High-Performance Programme?

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* 13. Are you a current member of Cycling Ireland?

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