Aquathlon Interstate Nomination Form

URL
This field is for validation purposes and should be left unchanged.
Student Details
Name*
First Last
Date of Birth*
Day
Month
Year
Gender*
- Female
- Male
Category*
*Category for 2027 Championship
Does the athlete have a disability?*
- Yes
- No
Multi-Class Classification*
Email*
Enter Email Confirm Email
Full School Name*
Parent/Guardian Details
Name*
First Last
Mobile Telephone*
Email*
Enter Email Confirm Email
School Notification*
- I understand it is a parent/student responsibility to notify the school of this nomination.

Student Details