SCHOOL SPORT WA

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

Reproduction of the SSWA website in whole or part for educational purposes, within an educational institution and on condition that they are not offered for sale, is permitted.

Secondary Triathlon Individuals 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 Individual Nomination Form 2008

School Details:

School Name:
Suburb:
School Phone:

Details of Team Contact:

First Name:
Surname:
Home Address :
Suburb:
Post Code:
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:____________________________________ 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:

Individual Competitor Entry

Please type in your details and retrieve your competitor number from the website 2 days prior to the event.

First name

Surname

DOB

Select your race category.

Junior Girls

Junior Boys

Intermediate Girls

Intermediate Boys

Senior Girls

Senior Boys

School Nomination

Please see School Nomination form on the main Triathlon page

Nominations Due: 22 October 2008

Nomination Fee: $21 for Individuals (payable on the day)

$24 per team

$16 Novices (SSWA will invoice schools)

Late nominations may be accepted but, if successful, a penalty fee will be imposed.

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

Stuart Denton

Canning Vale College

stuart.denton@det.wa.edu.au

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