DHS Country Week Nomination Form School DetailsFull School Name* Address* Suburb* Phone* Staff DetailsPrincipalName* First Last HOLA/Teacher in Charge Physical EducationName* First Last Email Country Week CoordinatorName* First Last Email* Principal Authority* The School Principal is aware of this nomination Nominated SportsTouch Football (Mixed) Click to nominate Number of Touch Football teams*Hockey Mixed (9 a side) Click to nominate Number of Hockey teams*Netball Girls Click to nominate Number of Netball teams*Anticipated Grade* A B C D E Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results.Anticipated Grade - Team 2* A B C D E Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Anticipated Grade - Team 3* A B C D E Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Futsal (5 a side) Click to nominate Number of Futsal teams*Basketball Boys Click to nominate Number of Boys Basketball teams*Anticipated Grade* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results.Anticipated Grade - Team 2* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Basketball Girls Click to nominate Number of Girls Basketball teams*Anticipated Grade* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results.Anticipated Grade - Team 2* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Basketball Mixed Click to nominate Number of Mixed Basketball teams*Anticipated Grade* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results.Anticipated Grade - Team 2* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Volleyball Click to nominate Number of Volleyball teams*Anticipated Grade* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results.Anticipated Grade - Team 2* A B C Grading will be based on this information so please endeavour to make an accurate prediction based on the ability of your team and previous results. Badminton Mixed A & B Click to nominate Number of A & B Badminton teams*Badminton Mixed C & D Click to nominate Number of C & D Badminton teams*Playing Uniform Predominant Colours* Approximately how many students are you bringing to Country Week?* Approximately how many staff are you bringing to Country Week?* Has the Premier's Country Week assistance payment had an impact on your nomination?* Yes No How has the payment impacted?* We wouldn't be attending without this support We anticipate bringing more teams We anticipate bringing more students Do you potentially have a student who could perform the Acknowledgment to Country?* Yes No Do you potentially have a student who could perform the National Anthem?* Yes No Do you potentially have a student who could perform the role of MC at the Opening Ceremony?* Yes No Do you potentially have a student(s) who could provide entertainment at the Opening Ceremony?* Yes No Does your school require a purchase order number for this invoice?* Yes No Purchase Order Number:* CommentsThis field is for validation purposes and should be left unchanged.
