Exit this survey AER Australian Championships 2014 Official's EOI This form is an Expression of Interest for officials to take part in the 2014 AER Australian Championships, Brisbane 17-21st September 2014. Please read and complete each question carefully, making sure all information is accurate. Please note officials will be required to pay half of their travel and accomodation costs for this tour. Chaperones will be self funded. Thanks Question Title * 1. Position on Tour Coach Judge Team Manager Chaperone Question Title * 2. FULL LEGAL NAME - This must be the name that appears on the passport Question Title * 3. Preferred Name - If different from above Question Title * 4. Physical Address Question Title * 5. Email Address Question Title * 6. Mobile Phone Number Question Title * 7. Home Phone Number - Please include area code Question Title * 8. Work Phone Number - Please include area code Question Title * 9. NZ Passport Number Question Title * 10. NZ Passport Expiry Date Day/Month/Year Date Question Title * 11. If you have don't hold a NZ Passport, please add the name of the country you hold a passport for, along with the passport number. Question Title * 12. Non NZ Passport Expiry Date Day/Month/Year Date Question Title * 13. Club Name Question Title * 14. Previous tour experiences Question Title * 15. Consent - By ticking this box you are agreeing to GymSports New Zealand Terms and Conditions. Please see the overseas Tour Policy for further information.If you have any further questions, please contact Katie Dee (Vulinovich) on overseas.tours@gymsportsnz.com Yes - I have read and agree with the consent Question Title * 16. Today's Date Day/Month/Year Date Done