SHS Country Week School Information Form – SSWA

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  - Netball
    - Boys
    - Girls
  - Orienteering
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    - Equestrian
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Interstate
Results
Admin
Merchandise
Contact

×

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

"*" indicates required fields

School Information

Full School Name*

Principal's Name*

HOLA's Name*

Country Week Coordinator's Name*

Mobile Number*

Years of attendance at Country week [including this year] [person - not school]*

Total number of students attending Country Week*

Males*

Female*

Other*

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*

Basketball Boys

Basketball Girls

Dance

Football [AFL] Boys

Football [AFL] Girls

Hockey Boys

Hockey Girls

Indoor Cricket

Netball

Soccer Boys

Soccer Girls

Speech and Debating

Touch

Volleyball Boys

Volleyball Girls

Name - Basketball Boys Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Basketball Girls Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Dance Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - AFL Boys Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - AFL Girls Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Hockey Boys Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Hockey Girls Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Indoor Cricket Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Netball Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Soccer Boys Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Soccer Girls Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Speech and Debating Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Touch Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Volleyball Boys Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Name - Volleyball Girls Coach/Manager*

First Last

Mobile Number*

Number of years attending Country Week?*

Other Information

Are you bringing any students who identify as Aboriginal and/or Torres Strait Islander ?*

Yes

No

How many students?*

Are you bringing any students who identify as ESL (English as a Second Language)*

Yes

No

How many students?*

Are you bringing any students with an identified disability? (Physical, Intellectual, Transplant Receipient)*

Yes

No

How many students?*

School Type*

Government

Non - Government

Specific Association*

Catholic Education Western Australia [CEWA]

Association of Independent Schools in Western Australia [AISWA]

Other

Team Captains

Boy

Girl

Do you have a student who could perform the Welcome to Country at the Opening or Closing Ceremony?*

Yes

No

Do you have a student who could perform the National Anthem at the Opening or Closing 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]

Reproduction of the SSWA website is permitted in whole or part for educational purposes, within an educational

institution and on condition that they are not offered for sale.

SCHOOL SPORT WESTERN AUSTRALIA INC, ABN: 25 492 318 440

School Sport WA © 2021