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Primary Sports Canterbury Cross Country Team 2015 Application Form
- Year 5/6 children: Please fill out this form and submit it by FRIDAY 19 JUNE 2015
- Year 7/8 children: Please fill out this form and submit it by TUESDAY 30 JUNE 2015
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* Indicates required question
Name
*
Please enter your first and surname
Your answer
Availability for team
*
Please indicate if you are or are not available to be in the PSC CC team for 2015 - please note if you say you are you MUST agree to all FIVE requirements on your selection letter 1. Travel to the event with the team and stay at the team accommodation. 2. Attend at least 7/10 team training sessions/races 3. Pay all fees before you go. 4. Sign a Behaviour/Consent/Medical form. 5. Get permission from your Principal to say you are allowed to attend the event.
Choose
I AM available
I am NOT available - no need to fill anything else out
Race Position on 10 June (Year 5/6) or 24 June (Year 7/8)
Please type in the place you got on 10 June (for Year 5 and 6) or 24 June (for Year 7 and 8) at Roto Kohatu
Your answer
Gender
Please indicate if you are a boy or girl
Choose
Boy
Girl
Year at school
Please indicate your year at school for 2015
Choose
5
6
7
8
School
Please enter the name of the school you attend
Your answer
Principal's Name
Please enter the name of your Principal
Your answer
Principal's permission
Indicate here if your Principal has given you permision to go on the trip
Choose
Principal HAS been asked
Principal has NOT been asked
****MOST IMPORTANT**** Email Address
*
Please enter a contact Email address - even if it is one of a friend or school
Your answer
Home Address
Please enter your home address
Your answer
Home Phone Number
Please enter your home phone no.
Your answer
Cell Phone
Please enter a cell phone number for contact AND whose phone it is
Your answer
Phone/Address/Email Details Shared
Please indicate if you agree or don't agree to your details being shared with the team
Choose
Agree for details to be shared with the team
Please do not share with the team
Parents'/ Care-givers' names
Please enter the name of your parents/ care-givers
Your answer
Parental/Care-giver permission
Please indicate if your parents/care-givers have given you permission by signing your selection letter
Choose
Parents HAVE given permission
Parents hve NOT given permission
Team Managers APPLICATION (Parents/ Care-givers) - please refer to notes on Selection Letter
Please fill in your name if you would like to be considered as a team manager
Your answer
What team would you like to be a manager for?
Please indicate what team you would like to manage - we try to put males with boys' teams
Choose
Not available this year
Year 5 Girls
Year 5 Boys
Year 6 Girls
Year 6 Boys
Year 7 Girls
Year 7 Boys
Year 8 Girls
Year 8 Boys
Team Manager info.
Please indicate anything that you can offer the team as a manager ie GP, teacher, relevant experience etc.
Your answer
Team Manager Email
If your email is different to the one given for your child, please enter it below
Your answer
Team Captain - why would you like to be - refer to notes on Selection Letter
If you would like to be a team captain, please tell us WHY you would like to be a team captain:
Your answer
Team Captain- what makes you a good one
If you would like to be a team captain, please tell us why you would be a good team captain:
Your answer
Polo Shirt Order (Child - COMPULSORY- unless you already have one)
If you need a Polo Shirt (compulsory) please indicate what size - size is usually 10 for age 8/9/10 and 12 for age 10/11/12
Choose
Already have one
8
10
12
14
16
Canterbury Training Jacket (OPTIONAL)
If you want to order a Canterbury Training Jacket ($40 and optional) please indicate your size
Choose
Don't need one thanks
4XS (age 7-8 approx.)
3XS (age 9-10 approx.)
2XS (age 11-12 approx.)
XS (age 13-14 approx.)
S (age 15-16 approx.)
other - email us
Canterbury Running Shorts (optional)
If you want to order Canterbury Running Shorts ($25 and optional) please indicate your size
Choose
Don't need any thanks
6
8
10
12
14
16
Managers' Polo Shirt Orders (Compulsory - unless you already have one)
Managers - If you need a Polo Shirt (compulsory) please indicate what size
Choose
N/A or Already have one
SM
M
L
XL
2XL
W8
W10
W12
W14
W16
W18
Other - contact us
Managers' Training Jacket Orders (optional)
If you want to order a Canterbury Training Jacket ($40 and optional) please indicate your size
Choose
Don't need one thanks
S
M
L
XL
Other - contact us
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