Name: Football Secondary Champion Schools Nomination Form
SKU: SOCCSEC-CS
Availability: InStock

I understand that the school may be charged 100% of the nomination fee upon withdrawal from this event. *

Yes

Full School Name *

Suburb *

HOLA/Teacher in Charge Phys Ed First Name *

HOLA/Teacher in Charge Phys Ed Surname *

HOLA/Teacher in Charge Phys Ed Email *

Coordinating Teacher First Name *

Coordinating Teacher Surname *

Coordinator Email *

Nominate number of teams being entered.Please indicate the number of teams you would like to nominate for each division.

CS Senior Boys

CS Senior Girls

CS Intermediate Boys

CS Junior Boys

CS Junior Girls

RP Senior Boys

RP Senior Girls

RP Intermediate Boys

RP Junior Boys

RP Junior Girls

Shirt Colour *

Short Colour *

Sock Colour *

Do you require a purchase order? *

No

Yes

Purchase Order Number [if required]

Principal Authority *

The School Principal is aware of this nomination

Football Secondary Champion Schools Nomination Form

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