SCHOOL SPORT WA

PO Box 8224, Perth Business Centre, WA 6849 ABN: 25 492 318 440 school.sport@det.wa.edu.au

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Netball Interstate Trial 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.

Nomination Form 2008

School Details:

School Name:
Suburb:		School Phone:

Competitor Details:

First Name:		Surname:
DOB (dd/mm/yy):		Home Phone:
Email Address:
Important: All relevant sport information and competition updates will be sent to this email address:
Parent / Guardian Details
First Name:		Surname:
Email Address:		Contact No:
Principal Authority: A condition of participation is schools compliance with DET Policies and Guidelines as they relate to excursions. My school Principal is aware of, and endorses, this nomination. Yes (Please click) Principal's Signature:____________________________________ Please print this nomination form and present to your Principal for authorisation. To participate in the trials a copy of the form, with Principal's signature, must be presented on the day of the trial.

Competition Details:

Current Netball Association:
Region:
2007 Regional Academy:	Yes No
Nominated Positions:	1. 2. 3.

I wish to be considered for selection in the State Schoolgirls Netball Team and agree to abide by the decisions of the selectors. (Please Click)

Nomination Fee: $15.00

Nomination Date: On or before day of trials

Please bring money with you on the day of the trial. Cheques made payable to School Sport WA

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

Deb Santaromita, Corpus Christi College Tel: 9332 4844, dsantaromita@corpus.wa.edu.au

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