SCHOOL SPORT WA

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

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Orienteering 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 in Charge:

First Name:  
Surname:  
Email Address:

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

Mobile No:

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:  Please indicate division/s entered:

Primary
10yrs (approx. 2km) Girls Boys Pairs
11yrs (approx. 2.5km) Girls Boys Pairs
12yrs (approx. 2.8km) Girls Boys Pairs
Secondary
15 & Under    
Approx 3.5km Girls A Boys A
Approx. 3.0km Pairs    
Approx. 2.8km Girls B Boys B
16 & over     
Approx. 4.5km Girls A Boys A
Approx. 4.0km  Pairs    
Approx. 3.5km Girls B Boys B
O.Ed Yr 11/12    
Approx. 3.5km Girls Individual   Boys Individual

 

Nomination Fee:   

$  6.00 per person (members) $12 pairs

$10.00 per person (non members) $20 pairs

OAWA will forward an invoice: Please make cheques payable to Orienteering Association of Western Australia

There will be no refunds if students withdraw after registration.

        Once you have submitted your schools nomination, it is important to complete and email the

             Students Entry Form with all your students names. This should be emailed to TBA

            Nominations must be returned by on or before Friday June 1st 2012

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

Ian Dalton

Emmanuel Christian College

dalton.ian@cathednet.wa.edu.au

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