Triathlon Interstate Nomination Form Student DetailsName* First Last Date of Birth* Day Month Year Gender* Female Male Email* Enter Email Confirm Email Full School Name* Does the athlete have a disability?* Yes No Multiclass Classification* Parent/Guardian DetailsName* First Last Mobile Telephone* Email* Enter Email Confirm Email School Notification* I understand it is a parent/student responsibility to notify the school of this nomination. NameThis field is for validation purposes and should be left unchanged.
