Primary Sports Canterbury Cross Country Team 2019 Application Form
 Please fill out this form and submit it by FRIDAY 28 JUNE 2019

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Name *
Please enter your first and surname
Availability for team *
Please indicate if you are or are not available to be in the PSC CC team for 2019 - 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.
Race Position on 19 June
Please select the place you got on 19 June
Gender
Please indicate if you are a boy or girl
Year at school
Please indicate your year at school for 2019
School
Please enter the name of the school you attend
Principal's Name
Please enter the name of your Principal
Principal's permission
Indicate here if your Principal has given you permision to go on the trip
****MOST IMPORTANT**** Email Address *
Please enter a contact Email address - even if it is one of a friend or school
Home Address
Please enter your home address
Cell Phone
Please enter a cell phone number for contact AND whose phone it is
Phone/Address/Email Details Shared
Please indicate if you agree or don't agree to your details being shared with the team
Parents'/ Care-givers' names
Please enter the name of your parents/ care-givers
Parental/Care-giver permission
Please indicate if your parents/care-givers have given you permission by signing your selection letter
Team Managers APPLICATION  (Parents/ Care-givers) - please refer to the document on our website and notes on the application form
Please fill in your name if you would like to be considered as a team manager. (Please note that managers will need to fill out a NZ Police Vetting Form).
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
Team Manager info.
Please indicate anything that you can offer the team as a manager ie GP, teacher, relevant experience etc.
Team Manager Email
If your email is different to the one given for your child, please enter it below
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:
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:
Polo Shirt Order (Child - COMPULSORY unless you have one from before)
Everyone needs a Team Polo Shirt (compulsory) please indicate what size - size is usually 10 for age 8/9/10 and 12 for age 10/11/12 - the subsidised price is $20.00
LOAN of Canterbury Training Jacket (Optional to buy) - everyone gets one to loan - cost is $60 to buy (same Jacket as 2017/8)
NOTE: You do not have to buy one. Everyone will get one to loan. This reply here is if you want to LOAN one:
PURCHASE of Canterbury Training Jacket (Optional to buy) - everyone gets one to loan - cost is $60 to buy (same Jacket as 2017/8)
NOTE: You do not have to buy one. Everyone will get one to loan. This reply here is if you want to BUY one:
Canterbury Running Shorts (optional)
If you want to order Canterbury Running Shorts ($25 and optional) please indicate your size
Managers' Polo Shirt Orders (Compulsory unless you have one from before) $25
Managers - All need a Team Polo Shirt (compulsory) please indicate what size
Any Comments
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