DHS Country Week School Information Form – SSWA

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Home
About Us
Interschool
- Primary
  - AFL
  - Badminton
  - Basketball
  - Cricket
  - Cross Country
  - Diving
  - Football (Soccer)
  - Futsal
  - Golf
  - Handball
  - Hockey
  - Netball
  - Orienteering
  - Rugby League
  - Rugby Union
  - Softball
  - Swimming
  - Teeball/Baseball
  - Tennis
  - Track and Field
  - Triathlon
  - Ultimate
- Secondary
  - AFL
    - Boys
    - Girls
  - Badminton
  - Baseball
  - Basketball
  - Cricket
  - Cross Country
  - Diving
  - Football(Soccer)
  - Futsal
  - Golf
  - Hockey
    - Boys
    - Girls
  - Netball
    - Boys
    - Girls
  - Orienteering
  - Rugby League
  - Rugby Union
  - Softball
  - Swimming
  - Tennis
  - Touch Football
  - Track & Field
  - Triathlon
  - Ultimate
  - Volleyball
  - Water Polo
- Country
  - Country Week
    - District High Schools
    - Senior High Schools
  - South West Region
- Regional
- Students with Disabilities
- Non SSWA Events
  - Primary
    - Equestrian
    - Table Tennis
  - Secondary
    - Equestrian
    - Rowing
    - Sailing
    - Squash
    - Surfing
    - Table Tennis
Interstate
Results
Admin
Merchandise
Contact

DHS Country Week School Information Form

School Information
Full School Name*
Principal's Name*
HOLA's Name*
Country Week Coordinator's Name*
Mobile Number*
Country Week Coordinator - number of years attending Country week [including this year]*
Total number of students attending Country Week*
Total number of staff attending Country Week*
Perth Team Accommodation
Residence in Perth*
Address*
Phone Number*
Coach and Manager Details
Indicate the teams you have nominated and complete the Coach/Manager details*
- Badminton
- Basketball Boys Team 1
- Basketball Boys Team 2
- Basketball Mixed
- Hockey Mixed
- Netball Team 1
- Netball Team 2
- Netball Team 3
- Futsal Mixed
- Volleyball Mixed
Name - Badminton Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Basketball Boys Team 1 Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Basketball Boys Team 2 Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Basketball Mixed Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Hockey Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Netball Team 1 Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Netball Team 2 Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Netball Team 3 Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Futsal Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Name - Volleyball Coach*
First Last
Mobile Number*
Number of years attending Country Week?*
Other Information
School Captains
Boy Girl

Please provide 2 Captains Names
Do you have a student who could perform the Acknowledgement to Country at the Opening Ceremony?*
- Yes
- No
Do you have a student who could perform the National Anthem at the Opening Ceremony?*
- Yes
- No
Do you have a student/s who could MC at the Opening Ceremony?*
- Yes
- No

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]

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