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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Primary Swimming Champion Schools

**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 2012

School Details:

School Name:

 

 Suburb: School Phone:

Details of Teacher(s) in Charge: [Note: Principal and Teacher in charge of this sport both required]

School Principal
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 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:____________________________________

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.

 

Nominated Division

Please note that SSWA has the option to allocate schools in divisions to facilitate a balanced competition and will consider the previous years results.  Divisions will be determined by a promotion / relegation system based on previous year results.  Schools please nominate your intention to compete below and SSWA will place your school in a division based upon placings from the previous year.  The proposed divisions for 2012 are listed in the 2012 Primary Swimming Information booklet on the Primary Swimming Information Page on the website.

 

By selecting the box on the right indicates we are nominating our school for the 2012 swimming carnival  Yes   

 

Competition Details:

Do you anticipate bringing spectators:

Yes    No

If so, how many

Nominations Due: 17 February 2012

Nomination Fee: $TBA (SSWA will invoice schools)

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

John Lawniczak, West Greenwood PS

john.lawniczak@det.wa.edu.au   9246 8700

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