Triathlon Interstate Nomination Form EmailThis field is for validation purposes and should be left unchanged.Student DetailsName* First Last Date of Birth* DD slash MM slash YYYY Gender* Female Male Category*Please SelectJunior (2014/2013)Intermediate (2012/2011)Senior (2010/2009/2008)*Category for 2027 ChampionshipEmail* Enter Email Confirm Email Full School Name*Does the athlete have a disability?* Yes No Multiclass Classification*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.
