2014 PARRAMATTA Primary Sport TEAM Registration Form (PDCPSSC)

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This form is an EXPRESSION OF INTEREST for the 2014 Parramatta Diocesan Primary Sport Team trials.
You may complete this form to attend a selection trial or if you have been selected in a squad or team.
One form is to be completed per child per sport and complete the form and then click SUBMIT.
Please note that your registration is an EXPRESSION OF INTEREST ONLY and MUST be approved by your child's school. In order for your child to attend the nominated trial or event this may come down to the discretion of your school as to who is selected to attend the trial. In some sports only 2 students per school can be nominated.

Catholic Education Diocese of Parramatta

2014 Sport or Team you are registering for: *

Please select carefully from the following list of Team Sports

Student's First Name *

Student's Surname *

Student's Street Number & Street Name *

Student's Address Suburb *

Student's Address Postcode *

Student's Address State *

Student's Date of Birth *

YYYY

Student's School in 2014 *

Student's School Year in 2014 *

Gender *

Parent / Guardian's First Name *

Parent / Guardian's Surname *

Parent / Guardian's Email Address *

Parent / Guardian's Mobile Number *

Name of Contact in case of an Emergency *

Please list other parent or guardian

Contact Number in case of an Emergency *

Please list other parent or guardian's contact number

Please list Student's Medical Conditions *

Please be be specific in case of a medical crisis or treatment being necessary

Please list Student's Medical Plan *

Please be be specific in case of a medical crisis or treatment being necessary

Nominate Preferred Playing positions to play at trials *

Record Preferred position if required for the nominated sport

Nominate Preferred 2nd Playing positions to play at trials *

Record 2nd preferred position if required for the nominated sport

Brief Playing History *

Please include present club and grade/division if appropriate

Representative Experience *

Please include all representative experience related to this nominated sport

Parental Consent* *

I give permission for my child to participate in the Parramatta Diocesan Sports Trials. .

I understand that I am responsible for my child's transport to and from the venue and the supervision during the trials

I give permission for my child to be given appropriate medical care should the need arise.

Required

Disclaimer *

Please note that your registration is an EXPRESSION OF INTEREST NOMINATION ONLY and MUST be approved by your child's school. Any child nominated by their school will be contacted by the school with the appropriate Team Trial Information. Attendance at the Parramatta Diocesan Trails will be the discretion of your school as to who is selected to attend the trial. In some sports only 2 students per school can be nominated.

Required

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