Cross Country Interstate Nomination Form

Name: Cross Country Interstate Nomination Form
SKU: CROS300
Price: 10.00 AUD
Availability: InStock

$10.00

SKU: CROS300 Category: Interstate

The trial event for the 2025 WA State Team (10-12s) will be held Saturday June 7.

Student First Name *

Student Surname *

DOB *

School Classification *

Government

Non-Government

Home Education [+$10.00]

Full School Name *

Gender *

Student Email *

Student Email Confirm *

Do you identify as a Multi-Class Athlete? *

Yes

Medical Conditions *

Yes

Please provide medical details

Emergency Contact & Details *

Parent First Name *

Parent Surname *

Parent Mobile *

Parent Email *

Please adjust quantity required

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