No Limits - Disability Nomination Form - Swimming

Students that have a disability and have been classified are now able to compete at their own schools divisional carnival. All disabled students that wish to compete must complete the following form by the Friday 8th March, 2019. Please complete a new form for each student being nominated. Only students with a classification code may nominate.

NAME: *

ENTER THE ATHLETES FIRST NAME AND SURNAME.

SCHOOL NAME: * - Select -Alkimos Baptist CollegeAll Saints' CollegeAranmore Catholic CollegeAustin Cove Baptist CollegeAustralian Christian CollegeBunbury Cathedral Grammar SchoolBunbury Catholic CollegeCarey Baptist CollegeCarmel SchoolCatholic Agricultural CollegeCBC FremantleChisholm CollegeClontarf Aboriginal CollegeCornerstone Christian CollegeCorpus Christi CollegeDale Christian SchoolEllenbrook Christian CollegeEmmanuel Catholic CollegeEmmanuel Christian CollegeFoundation Christian CollegeFrederick Irwin ASFremantle Christian CollegeGeorgiana Molloy Anglican SchoolGeraldton Grammar SchoolGrace Christian CollegeHelena CollegeHoly Cross CollegeIrene McCormack Catholic CollegeJohn Paul CollegeJohn Septimus Roe ACSJohn Wollaston ACSJohn XXIII CollegeKearnan College ManjimupKennedy Baptist CollegeKingsway Christian CollegeKolbe Catholic CollegeLa Salle CollegeLake Joondalup Baptist CollegeLiving Waters Lutheran CollegeLumen Christi CollegeMandurah Baptist CollegeMandurah Catholic CollegeMater Dei CollegeMazenod CollegeMercedes CollegeMercy CollegeMother Teresa Catholic CollegeMundaring Christian CollegeNagle Catholic CollegeNewman CollegePeter Carnley ACSPeter Moyes ACSPrendiville Catholic CollegeQuinns Baptist CollegeRehoboth Christian CollegeSacred Heart CollegeSerpentine Jarrahdale GrammarServite CollegeSeton Catholic CollegeSouth Coast Baptist CollegeSouthern Hills Christian CollegeSt Andrew's GrammarSt Brigid's CollegeSt George's Anglican Grammar SchoolSt James' s Anglican SchoolSt Joseph's CollegeSt Joseph's SchoolSt Luke's CollegeSt Mark's ACSSt Mary MacKillop CollegeSt Mary Star of The Sea SchoolSt Norbert CollegeSt Stephen's School (Carramar)St Stephen's School (Duncraig)Strathalbyn Christian CollegeSwan Christian CollegeSwan Valley Anglican Community SchoolThe King's CollegeThornlie Christian CollegeTranby CollegeUrsula Frayne College

CARNIVAL DIVISION: *

A

B

C

D

E

F

G

H

I

Select the carnival division for your school.

AGE GROUP: *

U13

U14

U15

U16

U19 (OPEN)

Select the AGE GROUP OF THE ATHLETE. Date for age classification is the 30th June.

CLASSIFICATION CODE: *

PLEASE ENTER THE CLASSIFICATION CODE OF THE ATHLETE E.G. T11

Swim WA Member: *

Yes

No

Please indicate if you are/are not currently a Swim WA member.

EVENT ENTRY: * 50m Freestyle50m Breastroke

PLEASE SELECT THE EVENTS THAT THE ATHLETE WILL COMPETE IN. MAXIMUM OF FOUR EVENTS ONLY FROM THE PRESCRIBED LIST.