Aquathlon Interstate Nomination Form Student DetailsName* First Last Date of Birth* Day Month Year Gender* Female Male Does the athlete have a disability?* Yes No Multi-Class Classification* Email* Enter Email Confirm Email Full School Name* 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. EmailThis field is for validation purposes and should be left unchanged.
