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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Surfing 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.

Surfing (Zones) Nomination Form 2008

School Details:

School Name:

 

Address:

Suburb: PC:

School Phone:

Team Contact Details:

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 and Training 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:____________________________________

Competition Details:

Please indicate your Zone

Zones:

Southern         Metro 1      Metro Senior Girls
Northern          Metro 2      Esperance       
South-West     Metro 3      Bunbury         
Peel                Metro Junior Girls Exmouth        

 

Team Names and Divisions:

Please complete team names and select one division per team.

SURFING - Max 8 divisions

Division

Team Name

Team 1

1.
2.
Reserve

Team 2

1.
2.
Reserve

Team 3

1.
2.
Reserve

Team 4

1.
2.
Reserve

Team 5

 

1.
2.
Reserve

Team 6

 

1.
2.
Reserve

Team 7

 

1.
2.
Reserve

Team 8

 

1.
2.
Reserve

BODY BOARDING - Max 8 divisions

Team 1

 

1.
2.
Reserve

Team 2

 

1.
2.
Reserve

Team 3

1.
2.
Reserve

Team 4

 

1.
2.
Reserve

Team 5

 

1.
2.
Reserve

Team 6

1.
2.
Reserve

Team 7

1.
2.
Reserve

Team 8

1.
2.
Reserve

Age as at 31 December in year of competition

Nominations Due: 31 July 2008

Nomination Fee: $40 [Surfing WA will invoice schools]

 

Note: Contest organisers from School Sport WA and Surfing WA will provide supervision of competitors while they are surfing in heats of the competition. Schools will need to provide adequate water supervision of their students, as stated in DET guidelines, at all other times.

 

When you submit this form it will be emailed to

Surfing WA

PO Box 382

Karrinyup WA 6921

Phone:   9448 0004 Fax:   9447 0309

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