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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Rugby League Interstate

**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.

Trial Nomination Form 2008

School Details:

School Name:

 

Suburb:

School Phone:

Competitor Details:

First Name:  
Surname:  
Email Address:

Important: All relevant sport information and competition updates will be sent to this email address:
Contact No:
Parent / Guardian Details
First Name:  
Surname:  
Email Address:
Contact No:

Principal Authority:

A condition of participation is schools compliance with Department of Education and Training Policies and Guidelines as they relate to excursions.  My school Principal is aware of, and endorses, this nomination.      

Yes (Please click)

Principals 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:

I wish to be considered for selection in the State Schoolboys Rugby League Team and agree to abide by the decisions of the selectors.

  (Please Click)

Nominations Due: 11 April 2008

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

Bruce Boelen

Carine SHS Tel: 9243 9100

bruceboelen@hotmail.com

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