Application Form

EsportsAble is a fun, safe and inclusive esports program for students under 18 in regional Queensland. Led by Queensland University of Technology (QUT), the aim of the program is to help you improve your gameplay and to build key skills like teamwork, communication, and problem-solving.

For more information on the program, we encourage you to please review the Academy 's Code of Conduct and our policies for Child Safety, Information Privacy, Technology Use, and Research Information Statement if you have any concerns about who will see the information you provide.

Complete this form to join the EsportsAble Academy and register your interest in one of the local esports tournaments.

Section 1: Applicant details

First Name *

Last Name *

Sex: *

Date of Birth *You must be between 13 -17 years of age

Country of Birth *

School *

Email address (Applicant) *

Phone (Applicant) *

Indigenous status: *

AboriginalTorres Strait IslanderNeitherPrefer not to say

Applicant Signature *

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Section 2: Account information

Preferred Username *

Confirm that your username meets our requirements by ticking all boxes: *

Your username helps us keep things fun and organised—it’ll be used for the EsportsAble Academy, including tournaments and school competitions.not contain your real name not be offensive to community members not contain company product names, people's names or advertainmentsnot contain or refer to online sites or links

Please indicate your local esports tournament: *

How would you like to support you local esports tournament? Please select all that apply: *

I want to improve my social gameplayI want to compete in my local tournamentI want to try broadcasting and live-streamingI want to learn about esports coachingI want to learn about team managementI want to learn about esports careersI want to help run my local esports eventI want to attend as a spectatorI don't want to attend the event (I just want to join the Academy)

Section 3: Background information

Understanding your needs

In line with our commitment to inclusiveness, we are committed to considering the unique circumstances of all participants in the Academy. To help us ensure that we can provide effective support, can you please confirm if any of the following apply to the applicant?

Do any of these apply to you? *

Intellectual disability (e.g., Developmental Delay, Down Syndrome, Acquired Brain Injury)Neurodiversity (e.g., Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Specific learning disability)Psychosocial disability (e.g., Depression, Anxiety, Schizophrenia, Bipolar Disorder)Physical disability (e.g., Muscular Dystrophy, Cerebral Palsy, Spina Bifida, Spinal Cord injury)Sensory Disability (e.g., Vision Impairment, Hearing Impairment)None of the above

Depending on your answer to the question above, we may reach out to better understand and accommodate any needs that you might have. Please use the text box below if you would like to provide additional information that think might be helpful.

Please provide additional information (optional):

Section 4: Parent/Guardian details

Parental consent is required to participate in the EsportsAble Academy or attend one of the regional esports tournaments. Please provide contact details below for you parent/guardian so that we can contact them and confirm their consent.

Full Name *

Phone (Parent/Guardian) *

Relationship to applicant

Email address (Parent/Guardian) *

Application Form

Your child has submitted an application to join the EsportsAble Academy and attend a local esports event in your area. While there is no cost associated with joining the Academy or attending a local esports event, consent from a lawful parent or guardian is required.

As a member of the EsportsAble Academy, your child will be given access to age-appropriate esports training content, participate in weekly challenges (including multiplayer online games), and read and contribute to a moderated online discussion forum. In line with our aim to promote a safe and inclusive esport experience for all participants, we have implemented a range child safety measures, including:

Algorithmic detection that identifies or blocks inappropriate content, requiring human verification before it can be posted.
Mandatory onboarding modules on behaviour, wellbeing, and resilience, which must be completed before users can comment.
Trained and blue-card certified community moderators who can report content and take enforcement action when necessary.
Anonymous reporting features that allow participants to report inappropriate content.
Voluntary research conducted to gather feedback from participants and to evaluate the effectiveness of different aspects of the program.

For more information on the program, we encourage you to please review the Academy 's Code of Conduct and our policies for Child Safety, Information Privacy, Technology Use, and Research Information Statement.

Section 4: Parent/Guardian consent form

By signing below, I confirm that I have read and understood the information provided regarding the EsportsAble program, including the activities involved, the potential risks and benefits, and how my child's safety will be protected.

I understand that my child’s participation in this project and all associated activities is voluntary, and they have the right to withdraw at any time without any negative consequences. I have had the opportunity to ask questions and seek clarification about the project, and all my questions have been answered to my satisfaction.

I hereby provide my consent for my child/ren (named below) to participate in the EsportsAble project, including participation in related research activities described in the research information statement. I also acknowledge that my child/ren will also be required to provide their own consent to participate in the project and any related research.

Full Name *

Relationship to applicant/s

Email address (Parent/Guardian) *

Phone (Parent/Guardian) *

Parent/guardian Signature *

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Please confirm if your child can participate in research to help improve the EsportsAble Academy and local esports tournaments: *

Yes - my child can decide if they want to participate in research activitiesNo - I would prefer my child didn't participate in research activitiesNot sure - I need more information, can someone please contact me

Section 2: Applicant/s details

If you are the parent/guardian of more than one applicant, please provide contact details for all applicants.

Full name applicant 1

DOB applicant 1You must be between 13 -17 years of age

Email applicant 1

Full name applicant 2

DOB applicant 2You must be between 13 -17 years of age

Email applicant 2

Full name applicant 3

DOB applicant 3You must be between 13 -17 years of age

Email applicant 3

Please use the text box below if you would like to provide additional information about the applicant/s that you think might be helpful to ensure that we can provide a safe and inclusive experience.

Please provide additional information (optional):

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