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About Us
About SSWA
History
Our History
Honour Board
Life Members
Wall of Fame
Service Awards
Structure
Office Staff
Management Group
Sport Coordinators
Interstate Officials
Governance
Newsletters
Admin
State Teams
State Team Parents
State Team Officials
Volunteer Positions Vacant
Sport Coordinators
Board Portal
Policies
Risk Management
Interschool
Primary
AFL
Basketball
Cricket
Cross Country
Diving
Football (Soccer)
Futsal
Golf
Hockey
Netball
Orienteering
Rugby League
Rugby Union
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
Netball
Boys
Girls
Orienteering
Rowing
Rugby League
Rugby Union
Sailing
Squash
Surfing
Swimming
Tennis
Touch Football
Track & Field
Triathlon
Ultimate
Volleyball
Water Polo
Country
Country Week
District High Schools
Senior High Schools
South West Region
Overview
Swimming
Track & Field
Cross Country
Netball
Carnivals
Regional
North Coast
North East
South Coast
South East
Peel
Interstate
AFL
Boys 12s
Girls 12s
Boys 15s
Girls 15s
Baseball
Basketball
Cricket
Boys & Girls 12s
Boys & Girls 15s
Cross Country
Diving
Football (Soccer)
Boys & Girls 12s
Boys & Girls 18s
Golf
Boys & Girls 12s
Boys & Girls 18s
Hockey
Boys & Girls 12s
Boys & Girls 15s
Lawn Bowls
Netball
Boys & Girls 12s
Boys & Girls 15s
Softball
Swimming
Swimming 10-12 Years
Swimming 13-19 Years
Tennis
Boys & Girls 12s
Boys & Girls 18s
Touch Football
Triathlon
Volleyball
Inclusion
Results
Interschool Primary Results
Interschool Secondary Results
Interstate Results
0 items
$0.00
Interstate Swimming Nomination Form
$
15.00
SKU:
SWIM
Category:
Interstate
Please notify your school if your trial falls within school hours.
$
Student First Name
*
Student Surname
*
I wish to nominate for the following Age Group:
*
10-12 Years
13-19 Years
DOB
*
Age as at 31 December in the current calendar year?
*
Gender
*
M
F
Student Email
*
School Classification
*
Government
Non-Government
Home Education
[+$10.00]
Full School Name
*
Parent First Name
*
Parent Surname
*
Parent Mobile
*
Parent Email
*
I would like to be considered for the following events:
*
Note: not all events apply to all age groups.
50m Freestyle
100m Freestyle
200m Freestyle
400m Freestyle
800m Freestyle
1500m Freestyle
50m Butterfly
100m Butterfly
200m Butterfly
50m Backstroke
100m Backstroke
200m Backstroke
50m Breaststroke
100m Breaststroke
200m Breaststroke
200m Indiv Medley
400m Indiv Medley
Are you a Multiclass Swimmer?
*
Yes
No
What is your Multiclass Classification?
*
Team Selection
*
I understand that selection will be based on accredited times provided by Swimming WA
Interstate Swimming Nomination Form quantity
Please adjust quantity required
Add to cart
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