GB AThlete INAS APPLICATION ENDORSEMENT & CHECKLIST

FOR COMPLETION BY HOME COUNTRY AND/OR NGB CLASSIFICATION OFFICER AS APPROPRIATE

Please ensure this is completed for each INAS application sent to the UK Sports Association office.

Please attach to the FRONT of application form/evidence submitted.

Athlete Name / Date of Birth
Address
County / Post code
Email
Telephone / daytime / evening
CHECK FOR COMPLETION OF THE FOLLOWING / ü
General Application Procedures / Athlete name on top right corner every pg
All sections on every page completed
Unstapled. All information & form on single sided pages only
Page 1 - Athlete information / Name correctly entered (matches passport)
Ensure correct Country “GB England, GB Wales”, “GB Scotland”, “GB N Ireland” entered.
Main sport (1), If additional sport classification (2) and (3) sought please speak with UKSA
Date of Birth correctly entered
Sex entered
Page 1 – Date by which registration required / Please discuss with UKSA any specific date or enter “asap”.
Page 2 – Athlete Declarations / All statements read and tick boxes completed if appropriate
Athlete signature and date
Page 2 - Parent/Legal Guardian/Advocate / Signature & Print name
Date & Relationship to athlete
Page 2a insert - Confidentiality/Data Protection Statement / Signed and Dated
Attachments & Evidence / 1 Photo attached (with name on reverse)
Copy of photo page of passport
Full and signed IQ assessment
Full and signed Adaptive behaviour assessment
Copy of summary sheets for IQ & Adaptive Behaviour
Age of onset evidence attached or signed statement within report from relevant psychologist
Psychologists HPC Registration no., valid dates
TSAL - Has TSAL been completed on line by lead coach? / Date completed: By whom?
Page 3 & 4 / Leave blank – both are for UKSA to complete

Checked for Accuracy and endorsed by Home Country Classification Officer or NGB Classification Officer ONLY

Name:______Signature:______Date:______

Organisation Name endorsing & submitting application: (UKSA Home Country or NGB) ______

Telephone: ______Email:______