PNBHS Holiday Sports Programme Registration Form
PNBHS Holiday Sports Programme 2019

Dates: Tuesday 23rd & Wednesday 24th April
Venue: Palmerston North Boys' High School
Times: 9am - 4pm
Cost: $30 for two days.

This year we are offering two sports for selection. Participants can only be involved in one sport for both days.

• Open for boys attending Intermediate School in Year 7 - 8 (Age 9-12).

• Open for boys and girls between the age of 7-18.

The PNBHS Holiday Sports Programme will provide:
• 2 days coaching from 9 am till 4 pm, a total of 14 hours coaching.
• Specialist sessions in your chosen sport of rugby and or basketball.
• A well structured and enjoyable programme.
• Quality facilities, and equipment provided

Rugby content:
• Distribution: Catch and Pass
• Ball carry, Tackle and Breakdown Technique
• Running - The Principles of Speed and Agility
• Modified Games and Team Work Scenarios.

Basketball content:
• Adapted games and warm ups
• Position Specific and Unit coaching.
• Dribbling and Shooting.
• Mini Tournament

Both codes will have ¨Fun activities¨ including swim time and or Gym time.
(Note: Parental permission will be required for pool sessions).

Participants NEED TO BRING!!!
• Rugby Boots & Shoes (Trainers) - Rugby.
• Shoes (Trainers) - Basketball.
• Mouthguard.
• Packed lunch – LUNCH IS NOT PROVIDED.
• Appropriate sporting clothing (t-shirt, shorts, socks and wet weather kit if needed i.e. rain jacket warm jumper).
• Water bottle (named).
• Togs and towel (Both days).

Please note: If the weather is bad during the week of the programme, PNBHS staff will be looking to move either Basketball or Rugby to an alternative venue. This will be communicated out with all parents and caregivers closer to the dates.

Due to the popularity and the limited number of placements. Full payment of $30 and a completed registration form MUST be completed or you will not be guaranteed a placement, first in first serve.

Payment can be made either by Cash/EFTPOS at the PNBHS Finance Office or by Online Banking using the details below.

Online Banking Details:
Bank Account Name: Palmerston North Boys’ High School
Bank Name: WestpacTrust
Bank Account Number: 03 0726 0476403 00
Please reference the payment with 'Holiday' and Full Name (HolidayJohnSmith) as the reference.

Any questions can be directed to Mr Muz Sujau at



Full Name *
Your answer
Gender *
Would you like to register for *
Date of Birth *
Ethnicity *
Your answer
Current School *
Your answer
Current Year Level at School (Year X) *
Your answer
What position do they play? (eg. Wing, Point Guard) *
Your answer
Total No. of Years Playing either Basketball or Rugby? *
Your answer
Parent/Caregiver Full Name *
Your answer
Parent/Caregiver Email *
Your answer
Parent/Caregiver Phone No. (Best Contact Number) *
Your answer
Payment Method *
Due to the limited number of places on offer and the popularity of this programme. Places will be confirmed on a first in first served basis. $30 Payment and registrations must be completed otherwise your place will be offered to other applicants. Payment can be made either by Cash/EFTPOS at the PNBHS Finance Office or by Online Banking using the details above.
Pool Consent *
Please indicate whether you give consent for your child to participate in a supervised pool session.
Transport Consent *
In the circumstance the venue needs to change due to bad weather, I understand that PNBHS will be looking to organise alternative arrangements that may include transporting participants involved to another venue. Please note that this will be communicated to all parents and caregivers prior to the programme.
Photography Consent *
I understand that PNBHS will be taking photos and videos of the Holiday Sports Programme for Marketing and Promotional purposes which may capture footage of your son participating in the programme.
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