NEW ZEALAND SECONDARY SCHOOLS SQUASH
32nd NATIONAL TOURNAMENT 2017
OFFICIAL ENTRY FORM 2017
SCHOOL
COACH
EMAIL
MOBILE
MANAGER
EMAIL
Order
MOBILE
Players Name
Grade
Code
No code?
Complete table on page 2
Year/
Level
Date of Birth
1
/
/
2
/
/
3
/
/
4
/
/
5
/
/
6
/
/
7
/
/
Date of
Entry1
Exemp
t
Quota
(Yes)2
Cost per Team is $260 plus GST Total of $299. Players not affiliated to Squash NZ will incur a cost of $5 per player.
ENTRIES CLOSE: Friday 1 JULY 2017
SEND COMPLETED ENTRIES TO:
Email
[email protected]
Please complete the following 2 pages to complete your entry.
Page 1 of 3
OFFICIAL ENTRY FORM 2017 Continued
Nominations for NZ Secondary Schools Teams
School Players nominated (on the official form) for the Secondary Schools Team
Players will be shortlisted and notified by July 14th by NZSSSA committee.
Players Name
Form
included
(tick)
Contact Parents
Phone and email
1
2
3
4
Affiliating Players to Squash NZ Grading List
For ungraded players to be registered onto their District List
Players Name (include middle name)
Contact
Phone and email
Unofficial
Grade &
Points
Cost
$5 incl
on
team
fees
Date of Birth
1
/
/
2
/
/
3
/
/
4
/
/
5
/
/
6
/
/
7
/
/
Page 2 of 3
OFFICIAL ENTRY FORM 2017 Continued
Principals signature
I certify that the students named above are:



Enrolled at this school in a class in Year 9 or above on the day of competition; and
Under the age of 19 years as at 1 January 2017
Satisfy the eligibility criteria for Secondary School sporting competitions as set by the NZSSSC.
All teams participating in this event do so under the direct responsibility of their school, which is responsible for their behaviour and control.
Neither the tournament organisers nor any Squash Clubs involved will accept responsibility for any injury to a student, or loss or damage to
any property belonging to a student.
1
Please indicate the date on which each student started classes at the school and highlight any who started on or after 30 April
2017.
Please indicate ‘Yes’ if a student who started classes on or after 30 April 2016 is exempt the NZSSSC ‘new to school’ quota because
a] s/he is in Year 9 or 10 or b] because the Principals of the previous school has provided a transfer approval letter that is held by
the school of representation.
2
Signed ____________________________________________________ (Principal) ___________________________ (Date)
SCHOOL CONTACT
EMAIL
SCHOOL postal Address
ENTRIES CLOSE: Friday 1st JULY 20175
SEND COMPLETED ENTRIES TO:
Email:
[email protected]
PAYMENT
Entry Fee ________ teams @ is $260 plus GST Total of $299.00=
$______________
Ungraded players NZ Squash affiliation fees ______ @ $5 per player =
$______________
Total payment
$______________
Payment method:

Direct Credit –– Sport Manawatu – Acct number: 02 0727 0624850 00
If paying by direct credit please quote school name and NZSS Squash as a reference

Invoice Required
Note: invoices will be sent to the School Contact email supplied. Receipts given on upon payment.
Page 3 of 3