Travel Details 2022

Interstate Travel Details 2022

"*" indicates required fields

SSWA Interstate Team*

Please complete this form using correct title case (upper and lower)

Student Details

Name*

First Last

Date of Birth*

Gender*

Male

Female

Parent/Guardian 1 Details

Name*

First Last

Relationship to Student*

Parent 1 Mobile*

Parent 1 Email*

Travel Details

SSWA Team Officials need to be aware of travel and accommodation details for students and families attending the SSA Championships.

Flight Details*

My child is travelling with SSWA Team Officials

My child is travelling with parent/guardian

Departure Airline

Departure Date from Perth

Flight number

Departure time from Perth

Return Airline

Departure Date from Destination

Flight number

Departure Time from Destination

Accommodation Details

Accommodation*

My child will stay in team accommodation organised by SSWA

My child will stay in privately arranged accommodation organised by parents

Name of the person the student will be accommodated with*

First Last

Mobile phone number of person the student will be accommodated with*

Name & Address of the accommodation*

Phone number at the accommodation*

Additional Information

Please provide any extra infromation that the SSWA Team Oficials should know.

Comments

This field is for validation purposes and should be left unchanged.

Interstate Travel Details 2022

Student Details

Parent/Guardian 1 Details

Travel Details

Accommodation Details

Contact us

phone

(08) 6318 5711

ADDRESS

TUART COLLEGE - 105 BANKSIA STREET, TUART HILL WA 6060

(ROOM A3 - HODGSON STREET ENTRANCE)

E-mail

[email protected]