Baseball Champion Schools

**Enter your details and press submit at the bottom of page**

Please do not print a blank form and hand write your details as your nomination will not get through to the sport coordinator.

Champion Schools Open Nomination Form 2010

School Details:

School Name:

Suburb:

School Phone:

Details of Teacher(s) in Charge: [Note: HOD/TIC Phys Ed and Teacher in charge of this sport both required]

School HOD/TIC Physical Education
First	Surname	Email	Mobile
Teacher coordinating this sport in school
First	Surname	Email	Mobile
Important: All relevant sport information and competition updates will be sent to these email addresses
Principal Authority: 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.

Competition Details:

Grade Nominated:

A B

Uniform Colours:

Nominations Due: Friday 19th February 2010

Nomination Fee: $60.00 (SSWA will invoice schools)

When you submit this form it will be emailed to the Sport Coordinator.

Brooke Hughes, Bullsbrook DHS, Tel: 9571 1220
brooke.hughes@det.wa.edu.au

**For your records please print a copy of the form before submitting