Netball Boys Champion Schools 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 sport coordinator.

Champion Schools Nomination Form 2012

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 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: Netball High Schools Cup

Division (please indicate no. of teams and coach/s):

Division Open Boys	No. of Teams	Coach's Full Name:
		Coach's Email/Contact:

Nomination Fee $30.00* [SSWA will invoice schools]

*subject to change dependent on nomination numbers

Nominations must be returned by 15 June 2012

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

Tracey Carrington, Belmont City College, tracey.carrington@det.wa.edu.au

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

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