KENT SCHOOLS ATHLETIC ASSOCIATION ENGLISH SCHOOLS TRACK AND FIELD CHAMPIONSHIPS Alexander Stadium, Birmingham on 7th/8th July (Travel on 6th July) 2017 Senior Age Group Athlete Nomination Form ARE YOU ABLE TO COMPETE IN THE ENGLISH SCHOOLS CHAMPIONSHIPS IN YES NO BIRMINGHAM ON 7th & 8th JULY 2017 (TRAVEL ON THE 6TH) (PLEASE CIRCLE) PLEASE USE CAPITALS AND WRITE VERY CLEARLY OR TYPE YOUR ENTRY – YOU MUST ALSO REGISTER AT – IT IS VITAL THAT YOU DO THIS AGAIN (EVEN IF YOU HAVE REGISTERED IN PREVIOUS YEARS) FAMILY NAME FIRST NAME DATE OF BIRTH AGE MALE FEMALE HOME ADDRESS POSTCODE EMAIL ADDRESS * The Team will be Notified by Email write VERY clearly HOME MOBILE PHONE PHONE SCHOOL/COLLEGE NAME ADDRESS (including post code) HEAD TEACHERS NAME DISTRICT (i.e. area you would represent at the Kent Schools) PLEASE NOTE YOU MUST ALSO BE NOMINATED VIA YOUR SCHOOL TO YOUR DISTRICT TEAM MANAGER AGE GROUP YEAR 12 YEAR 13 (PLEASE HIGHLIGHT) T SHIRT SIZE (PLEASE SMALL MEDIUM LARGE EXTRA LARGE HIGHLIGHT ) TRACK SUIT SIZE Boys Boys Girls “Dress” Size Waist Chest 6,8,10,12,14 etc Measurement Measurement WHAT EVENT/S DO YOU WISH TO BE CONSIDERED FOR? PLEASE LIST YOUR BEST PERFORMANCE/S THIS SEASON? Event Performance Date At Representing achieved Eg 400m 48.6 13/14th May 17 KCAA Champs, Julie Rose Anywhere AC Stadium, Ashford N.B. 1. WE WILL ONLY ACCEPT OUTDOOR PERFORMANCES FROM 2017 FOR SELECTION 2. ALL PERFORMANCES WILL BE CHECKED AGAINST PUBLISHED RESULTS AND POWEROF10 DATA. 3. ACHIEVING AN ESAA ENTRY STANDARD DOES NOT GUARANTEE SELECTION FOR THE ENGLISH SCHOOLS ALL NOMINATIONS MUST BE RECEIVED BY SATURDAY 10TH JUNE via email or post SELECTION – WILL TAKE PLACE ON Monday 12th JUNE. IF YOU HAVE BEEN SELECTED YOU WILL BE NOTIFIED BY POST/EMAIL. ALL RETURNS TO or by post to Ken Burkett, 99 College Avenue, Gillingham, Kent, ME7 5HX
KENT SCHOOLS ATHLETIC ASSOCIATION ENGLISH SCHOOLS TRACK AND FIELD CHAMPIONSHIPS Alexander Stadium, Birmingham on 7th/8th July (Travel on 6th July) 2017 Senior Age Group Athlete Nomination Form ARE YOU ABLE TO COMPETE IN THE ENGLISH SCHOOLS CHAMPIONSHIPS IN BIRMINGHAM ON 7th & 8th JULY 2017 (TRAVEL ON THE 6TH) (PLEASE CIRCLE) YES NO PLEASE USE CAPITALS AND WRITE VERY CLEARLY OR TYPE YOUR ENTRY – YOU MUST ALSO REGISTER AT – IT IS VITAL THAT YOU DO THIS AGAIN (EVEN IF YOU HAVE REGISTERED IN PREVIOUS YEARS) FAMILY NAME FIRST NAME DATE OF BIRTH AGE MALE FEMALE HOME ADDRESS POSTCODE EMAIL ADDRESS * The Team will be Notified by Email write VERY clearly MOBILE PHONE HOME PHONE SCHOOL/COLLEGE NAME ADDRESS (including post code) HEAD TEACHERS NAME DISTRICT (i.e. area you would represent at the Kent Schools) PLEASE NOTE YOU MUST ALSO BE NOMINATED VIA YOUR SCHOOL TO YOUR DISTRICT TEAM MANAGER AGE GROUP (PLEASE HIGHLIGHT) YEAR 12 YEAR 13 T SHIRT SIZE (PLEASE HIGHLIGHT ) SMALL MEDIUM LARGE EXTRA LARGE TRACK SUIT SIZE Boys Waist Measurement Boys Chest Measurement Girls “Dress” Size 6,8,10,12,14 etc WHAT EVENT/S DO YOU WISH TO BE CONSIDERED FOR? PLEASE LIST YOUR BEST PERFORMANCE/S THIS SEASON? Event Performance Date achieved At Representing Eg 400m 48.6 13/14th May 17 KCAA Champs, Julie Rose Stadium, Ashford Anywhere AC N.B. 1. WE WILL ONLY ACCEPT OUTDOOR PERFORMANCES FROM 2017 FOR SELECTION 2. ALL PERFORMANCES WILL BE CHECKED AGAINST PUBLISHED RESULTS AND POWEROF10 DATA. 3. ACHIEVING AN ESAA ENTRY STANDARD DOES NOT GUARANTEE SELECTION FOR THE ENGLISH SCHOOLS ALL NOMINATIONS MUST BE RECEIVED BY SATURDAY 10TH JUNE via email or post – SELECTION WILL TAKE PLACE ON Monday 12th JUNE. IF YOU HAVE BEEN SELECTED YOU WILL BE NOTIFIED BY POST/EMAIL. ALL RETURNS TO or by post to Ken Burkett, 99 College Avenue, Gillingham, Kent, ME7 5HX