Extenuating Circumstances Consideration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 17Extenuating Circumstances Consideration Please read the following information carefully before submitting your petition. This form is for gymnasts who are unable to compete at an approved International Event and/or compulsary training hours for the listed Designated Selection Event and wish to apply to their respective selection panel for consideration for a Major or Minor International Competition. We ask that you please read the applicable selection policy part 1 & 2 carefully before proceeding with your petition. When completing this form, please ensure you fill out all sections truthfully and accurately and provide all necessary documentation by the deadlines specified in your selection policy. Late submissions will not be accepted. If you have any queries please don't hesitate to contact the appropriate member of our Performance Team and we will be happy to support. Next Please select which Squad you are applying for:International Competition Squad [ FIG ADVANCED ] = ICSFAInternational Competition Squad [ FIG DEVELOPMENT ] = ICSFDTo Insert your answer please use the dropdown box above.Next For which event are you applying for?Please write the full name of the competition in the following format ("Date - Competition Name - Discipline, Location)" Please Insert your answer in the above boxNext Gymnast's Primary Coach Name Please Insert your answer in the above boxNext Gymnast NameFirstLastPlease Insert your answer in the above boxesNext Parent/Guardian #1 NamePlease Insert your answer in the above boxParent/Guardian #1 EmailEmailConfirm EmailPlease Insert your answer in the above boxesNext Parent/Guardian #2 Name Please Insert your answer in the above boxParent/Guardian #2 Email EmailConfirm EmailPlease Insert your answer in the above boxesNext Is the gymnast a member of a partnership/group?YesNoTo Insert your answer please use the dropdown box above.If yes please provide all the full names of the other members.Please Insert your answer in the above boxNext Application DetailsInjury preventing participationIllness preventing participationJunior Cert (State Exams)Leaving Cert (State Exams)FinancialN/ATo Insert your answer please use the dropdown box above.Reason for being unable to compete, please provide a detailed explanation.Please note medical evidence for injury or illness is required at the time of this submission. Please Insert your answer in the above boxNext Do you have any medical evidence related to injury/illness?YesNoYou must provide written certification or authentication of the injury or illness from a registered doctor or a Health Care Professions registered physiotherapist. To Insert your answer please use the dropdown box above.Next Does your medical information include the diagnosis, the date the injury/illness occurred, and an estimated recovery timeline?YesNoN/ATo Insert your answer please use the dropdown box above.If Yes, please upload the medical evidence. Drag & Drop Files, Choose Files to Upload Camera Capture With Your Camera Camera Preview Next Does your injury necessitate the use of additional support or aids during competition? For example, wrist guards, spotting mats, or similar equipment.YesNoTo Insert your answer please use the dropdown box above.If yes, please specify the type of support or aids required and provide details of their intended use during competitionPlease Insert your answer in the above box For medical If Next If you're applying for consideration based on an incident that occurred at DGA, did you notify a Senior Coach member on the day?YesNoN/ATo Insert your answer please use the dropdown box above.Next AcknowledgmentsYesNoN/AI acknowledge that Extenuating Circumstances applications will be assessed by the relevant Selection Panel to determine acceptance. There is no guarantee that all applications will be approved, and applicants will be notified of the decision. To Insert your answer please use the dropdown box above.Next Event Judging PanelYesNoN/AI understand that the judging panel may evaluate my performances to determine if I meet the Performance Standards . To Insert your answer please use the dropdown box above.Next Any additional comments for the Selection PanelPlease Insert your answer in the above boxNext Signature Clear Signature By submitting this form, you agree to the terms and evaluation process, and confirm your understanding that this is a petition for consideration only. Leave this field emptyPlease prove you are human by selecting the heart:Submit