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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South West Schools Triathlon 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 sport coordinator.

School 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:

  1. Complete Team and individual name lists and email to tracy.cameron@det.wa.edu.au by date TBA

  2. A condition of entry is for each school to provide one official for each 25 competitors. One adult official will be responsible for ensuring all their competitors complete the correct number of laps in the bike ride and run. ie 1-15 competitors = 1 adult official + an additional official for each 25 competitors.

 

First Name

Surname

Contact Number

Official 1

(Lap counter)

Official 2

Official 3

Official 4

 

  1. Nomination fees are individual $15 teams $25 and schools will be invoiced after the event. The  organisers reserve the right to restrict entries from schools if the number of competitors exceed 600. Late entries may be accepted subject to a penalty fee.

Nominations Due: TBA

Nomination Fee:  Individual $15; Teams $25 TBC

                           

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

Tracy Cameron, Margaret River SHS, tracy.cameron@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