Cross Country Interstate Nomination Form PLEASE NOTEONLY submit this form if you are attending/attended the Secondary Cross Country Championships with your school team. If you are competing as an INDIVIDUAL, DO NOT FILL THIS FORM OUT.Student DetailsName* First Last Date of Birth* Day Month Year Gender* Female Male Email* Enter Email Confirm Email Full School Name* Parent/Guardian DetailsName* 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. PhoneThis field is for validation purposes and should be left unchanged.