School Name:

Street Address:

Suburb:

Post Code:

School Phone:

School Fax:

Principal's Name:

First Name:

Surname:

Email Address:

Mobile:

Accredited Coach

Yes   No 

Level 1   or Level 2 

Yr of accreditation

Important: All relevant sport information and competition updates will be sent to this email address:

A condition of participation is schools compliance with Department of Education and Training Policies and Guidelines as they relate to excursions.  My school Principal is aware of, and endorses, this team(s) nomination.

Yes (Please click)  Principal's Signature:____________________________________

For School Records Only: We suggest you print this form, present to your Principal and keep for your records - you are not required to bring this to the event or submit to the SSWA office.

A school may nominate a team(s) in any or all divisions (smaller schools and schools with a non football background should only nominate for the Glendinning Division).  The Secondary Schools Football Advisory Committee has the right to adjust the divisions to have balanced competitions.  Coaches are also required to complete a player roster at the AFL SportsReady Cup coaches meeting and return to their Regional Coordinator prior to Round 1.

Nominated Division(s)

Home Ground Name

Address of Ground

Jumper Colour

Barry Cable

Glen Jakovich

Ross Glendinning

Does your school run modules for AUSTRALIAN RULES FOOTBALL?  Please select appropriate years

General PE

Specialised Football

Year 8 Year 9 Year 10 

Year 8  Year 9  Year 10 Year 11  Year 12 

Can your school provide their own accredited field umpire for your Home and Away matches?        YES NO  

NOTE: All school nominated umpires will be paid for their services.

 If YES please provide the name of the umpire