Cross Country Secondary Champion Schools – Individual- Nomination Form

Name: Cross Country Secondary Champion Schools - Individual- Nomination Form
SKU: CROS200 SEC
Price: 10.00 AUD
Availability: InStock

$10.00

SKU: CROS200 SEC Category: Secondary Champion Schools

Open

Student First Name *

Student Surname *

Full School Name *

Suburb *

Student DOB *

Gender *

Male

Female

Select Race Category *

Athlete with a Disability *

Yes

Multi Class Classification *

Parent / Guardian First name *

Parent / Guardian Surname *

Parent Street Address *

Parent Suburb *

Parent Post Code *

Parent Email *

Parent Email confirm *

Parent Mobile *

Interstate Team - Do you wish to be considered for State team Selection? *

Yes (you do not need to complete any further nomination forms)

Permission to publish student name on SSWA website *

Yes

School Notification *

The school is aware of this nomination

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