Name: Track and Field Primary Nomination Form
SKU: ATHL050 PRI
Price: 10.00 AUD
Availability: InStock

Student First Name *

Student Surname *

Full School Name *

Student DOB *

Parent / Guardian First Name *

Parent / Guardian Surname *

Parent Mobile *

Parent Email *

Medical Condition *

No

Yes

Details And Emergency Contact *

Select Event Category *

Year 4 Boys

Year 4 Girls

Year 5 Boys

Year 5 Girls

Year 6 Boys

Year 6 Girls

Events *Please note cost is $10 per event

Sprint (Yr 4-80m, Yr 5 and 6-100m)

Middle Distance (Yr 4-6 200m)

Middle Distance (Yr 4-400m, Yr 5 & 6-800m)

Long Distance (Yr 4-6 1500m)

Long Jump (Yr 4-6)

Turbo Javelin (Yr 4-6)

Shot Put (Yr 4-6)

Principal Authority *

The School Principal is aware of this nomination

Number of Events *

Options	Quantity
How many events have you nominated for?

Track and Field Primary Nomination Form

Contact us

phone

(08) 6318 5711

ADDRESS

TUART COLLEGE - 105 BANKSIA STREET, TUART HILL WA 6060

(ROOM A3 - HODGSON STREET ENTRANCE)

E-mail

school.sport@education.wa.edu.au

Track and Field Primary Nomination Form

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