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SHS School information
School Sport WA
»
Interschool
»
Country
»
Country Week
» SHS School information
SHS Country Week School Information Form
Step 1 of 4
25%
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
*
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
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