Surfing Champion Schools Nomination Form School DetailsFull School Name* Street Address* Suburb* Telephone Number* Staff DetailsTeacher in Charge Physical EducationName* First Last Email* Coordinating TeacherName* First Last Email* Principal Authority* The School Principal is aware of this nomination Competition DetailsRegional - Please Select Southern Northern South - West Peel Bunbury Metro - Please Select Metro Boys Zone 1 Metro Boys Zone 2 Metro Boys Zone 3 Metro Boys Zone 4 Metro Zone 5 & Girls Surfing Names and Divisions - Please select division and complete details.Maximum 2 teams per division (contact Surfing WA to see if mores teams can be entered - [email protected] or 9448 0004)Surfing Junior Boys No1 Junior Boys No2 Junior Boys No3 Junior Boys No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Surfing Junior Girls No1 Junior Girls No2 Junior Girls No3 Junior Girls No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Surfing Senior Boys No1 Senior Boys No2 Senior Boys No3 Senior Boys No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Surfing Senior Girls No1 Senior Girls No2 Senior Girls No3 Senior Girls No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Bodyboard Names and Divisions - Please select division and complete details.Maximum 2 teams per division (contact Surfing WA to see if mores teams can be entered - [email protected] or 9448 0004)Bodyboard BB Jun Boys No1 BB Jun Boys No2 BB Jun Boys No3 BB Jun Boys No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Bodyboard BB Jun Girls No1 BB Jun Girls No2 BB Jun Girls No3 BB Jun Girls No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Bodyboard BB Sen Boys No1 BB Sen Boys No2 BB Sen Boys No3 BB Sen Boys No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Bodyboard BB Sen Girls No1 BB Sen Girls No2 BB Sen Girls No3 BB Sen Girls No4 Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last Name 1 First Last Name 2 First Last Reserve First Last NameThis field is for validation purposes and should be left unchanged.
