YouFor2032 Para Sport Testing Expression of Interest Form
In completing this form, the QAS will review your information and send you relevant information relating to the next available QAS Para Unit Testing Session.
Name
*
First Name
Last Name
DOB
*
-
Day
-
Month
Year
DOB
Gender
*
Male
Female
Non-Binary
Not listed
Prefer not to say
Are you of Aboriginal or Torres Strait Islander origin?
*
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
Prefer not to say
Are you an Australian citizen?
*
Yes
No
Working towards citizenship?
Prefer not to say
What suburb do you live in?
*
Email
*
example@example.com
Phone Number
*
If under 18, or have a primary contact parent/ guardian, what is their name?
If you supplied a name above, what is their best contact email?
If you supplied a name above, what is their best contact number?
Which category below best describes your impairment type?
*
Impaired Muscle Power (e.g. spinal cord, or neurological conditions)
Impaired Passive Range of Motion (e.g. joint fusions or structural variations)
Limb Deficiency/ Limb Loss
Leg Length Difference (Not an amputee)
Short Stature
Hypertonia/Ataxia/Athetosis
Vision Impairment
Intellectual Impairment
Is there any further information you would like to supply regarding your impairment? (eg. specific name of condition, medical diagnosis, or description of your impairment). By supplying this information, this will help us inform eligibility across different Para sports.
Do you use a mobility aid?
*
I do not use a mobility aid
Yes, Wheelchair (manual)
Yes, Wheelchair (powered)
Yes, mobility aid (e.g. wheelie walker, walking stick)
Vision Cane
Prefer not to say
When attending community locations, do you require accessible parking?
*
Yes
No
Does the participant have any of the following medical conditions?
*
Asthma
Epilepsy
Diabetes
Cardiac conditions
Anaphylaxis
None
If yes to Anaphylaxis, what are you allergic to?
How did you hear about us?
*
QAS Website
Social media/ Advertising
Paralympics Australia
Australian Institute of Sport (AIS)
National Sporting Organisation (e.g. Swimming Australia)
State Sporting Organisation (e.g. Athletics Queensland)
National Sporting Organisation for People with Disability (e.g. Blind Sports Australia, Sport Inclusion Australia)
State Sporting Organisation for People with Disability (e.g. Sporting Wheelies)
Disability Organisation (e.g. MS Queensland, aSTART, Spinal Life, Vision Australia)
Private Allied Health or disability professional (e.g. Exercise Physiologist, Physiotherapist, OT, Supportworker)
Queensland Health (e.g. Children's Hospital,or Allied Health Services for adults)
Prosthetist/ Orthotist
School based Physiotherapist or health role
School Networks (e.g. Teacher/ school newsletter)
Sporting Coach/ Club / Another athlete
Event, Expo or Conference (e.g. a presentation, YouFor2032 or QAS stand)
Talent Identification days (e.g. Future Green & Gold)
Come and Try days (e.g. Come and Try ParaSport, DSA Abilities Unleashed etc)
Other
Submit
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