Sex Male Femaie
Date of Birth
Check Box 2018/19 Athlete Season Membership 2018/19 Coaches Season Membership 2018/19 Self-Trained Season Membership 100m or 400m State Champion FREESelf-Trained $60, Athlete $40, Coach $20.
WCAL registered coach receives 20% of athlete’s prize money
Coaches Name & Email20% prize money fee will be deducted from your prize money and awarded to your coach. (Interstate athletes are excluded)
Bank Account detailsFor payment of prizemoney
Check Box * I agree I agree, Parent or GuardianWA participants must have WCAL membership. Non WA participants need to register with their home state Pro league. I am confiming that I am the person stated in the above 'Your Name' catagory. All competitors are required to comply with the ASADA & WADA rules and regulations. I understand that any videos, photos and results are property of, and will be used by the West Coast Athletics League (Inc.) for publication. I acknowledge the above information to be true and correct and there are significant penalties for giving false or misleading information. This membership is non refundable. The West Coast Athletics League (Inc.) has the right to review this membership and make any decisions, final or otherwise, without my consent.