Primary Cross Country School Nomination

**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 appropriate sport coordinator.

Nomination Form 2012 - School Team School Details: School Name:   Suburb: School Phone: Details of Teacher(s) in Charge: [Note: Principal and Teacher in charge of this sport both required] School Principal 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 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. Competitor Details:   Please complete the team spreadsheet on the Primary Cross Country page and email to the SSWA office.   Nominations Due: TBA Nomination Fee:$5.00 (inc GST) per person *Subject to change dependent on nomination numbers. [Schools will be invoiced] When you submit this form it will be emailed to the Sport Coordinator, Daryl Mansfield South Perth PS Tel: 93672652 Daryl.Mansfield@det.wa.edu.au **Please print a copy of the form before submitting for your own records**   For security reasons we require you to enter a code word prior to hitting the submit button. Code Word [use lowercase]: sswa       Enter code word here