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Select County
--Choose County--
Carlow
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Wexford
Wicklow
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Event Name
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Event Date
Event Time
Specific Time
To Be Confirmed
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Select Time
Event Location
Please use the box below to locate your event address
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Location
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Latitude
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Longitude
Event Type
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My event is
--Choose--
Male
Female
Mixed
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Event Type
--Choose--
Road Race
Cross Country
Race Walking
Track & Field
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How many distance types do you have?
1
2
3
4
5
6
7
Distance Name
Certificate Number
Course Measurer
1
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
2
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
3
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
4
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
5
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
6
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
7
Event Distance
5km
4mile
5mile
10km
10mile
Half Marathon(13.1m/21km)
Marathon(26.2m/42.2km)
Other (not longer than 26.2m)
Permit Contact Details
Race Promoter (Applicant/Club)
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Name
*
Email
*
Mobile Number
Race Director
Race director cannot also be health & safety officer. Please change matching data.
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Name
*
Email
*
Mobile Number
Health & Safety Officer
Race director cannot also be health & safety officer. Please change matching data.
*
Name
*
Email
*
Mobile Number
Safeguarding Representative
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Name
*
Email
*
Mobile Number
Additional Permit Details
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What first aid personnel services will be on-site? (Doctor / Nurse / Qualified First Aider / Paramedic / Ambulance service etc)
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What level of qualifications will these personnel have?
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What level of service will they provide?
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Will there be facilities to cope with dehydration?
--Choose--
Yes
No
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Will there be an ambulance present and necessary personnel to transport a participant to hospital if required?
--Choose--
Yes
No
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Do you have access to a defibrillator?
--Choose--
Yes
No
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Where will the medical personnel be situated around the course?
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Will there some medical personnel on bicycles depending on the nature of the course and terrain (Road races)?
--Choose--
Yes
No
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I confirm an Event Medical Plan will be in Place
• A Documented Event Medical Plan will
• outline the resources, facilities and management structures of medical services being provided for the healthcare of the participants.
• outline arrangements and procedures to be put in place for a serious incident or a major emergency.
• An Event Medial Plan should be prepared by your medical provider prior to the event.
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I confirm an Event Management Plan will be in Place
• A Documented Event Management Plan will outline hazards and associated risks relating to the delivery of the event and sets out responsibilities for managing those risks.
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I confirm our Event Management Plan (including the Event Medical Plan), will be submitted to relevant stakeholders
• EG – Gardaí, Local Council, Local landowners, etc.
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I confirm our Event Management Plan (including the Event Medical Plan) will be made available to County Board &/Athletics Ireland upon request
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I confirm that the Health & Safety Officer is a different individual to the Race Director
Terms & Conditions:
Licence Application Form Under AAI/IAAF Rules International Licence All above rules in addition to: 1 The organisers must in the first instance obtain the approval of the County Board with jurisdiction in the area where event will take place. 2 No athlete not in good standing with his/her National Federation or under suspension by the IAAF can be invited or allowed to participate. 3 The organisers may not engage the services of Agents not approved to represent athletes by the athletes Federation. 4 The organisers must at their own expense, provide facilities to enable persons appointed to collect, within IAAF rules, samples for the purpose of dope control. 5 The organisers must indemnify the AAI against all losses or claims arising out of any aspects of the event and show proof of such insurance. A copy of the Organising Bodies Insurance Policy must be submitted indemnifying the AAI. 6 A full set of accounts including all income and expenditure must be forwarded within 30 days of the event to the Chair of Finance, Athletics Ireland. 7 Booking fees are non-refundable.
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I Accept Terms & Conditions
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