NOMINATION INFORMATION G14, U16, U18 G 14, M & W 15, M & W 16 & 17 Interprovincial Meeting Saturday 24th January 2015 at Palmerston North The Team will travel together in vans on Friday and return on Sunday. The team will be staying at Massey University Halls, Palmerston North. Departure times and pick-up points will be notified once the team is announced. Teams are comprised of: Grade 14 and 15 athletes, each athlete is required to compete in three events, 2/1, combination track / field or visa versa plus a relay. EVENTS TRACK 100m, 200m, 400m, 800m, 1500m, Hurdles EVENTS FIELD High Jump, Long Jump, Shot Put, Discus, Javelin Grade 16 and 17 athletes, each athlete will compete in three events, any combination, plus a relay. EVENTS TRACK 100m, 200m, 400m, 800m, 1500m, Hurdles EVENTS FIELD High Jump, Long Jump, Shot Put, Discus, Javelin, Triple Jump, Hammer Results from Ribbon Days, Porritt & Tauranga Domain tracks will be considered when making athletes event selections. The team will be announced at the end of December, early January. If you are away on holiday it is important that the selectors have a contact phone number (preferably a parent and athletes mobile). The cost at this time is unconfirmed, but approximately $250 for a fun filled weekend of athletics with old and new friends. If you are taking part in the Classic Series, arrangements may possibly be made to join the team down there. Selectors: Denise Taylor 07 576 8133 / 0274 532 758 Paula Cole 027 279 2299 Ruth Kaiwhata 022 191 0887 Please complete this nomination form and return by 19th December to: Note: A $ 50.00 deposit is required at the time of submitting your nomination form Denise Taylor PO Box 13-209 Tauranga Central Tauranga 3141 ………………………………………………………………………………………………………….. Name ______________________________________________________ Sex M Address _____________________________________________________ Age as at 31st December 2014 Grade 14 15 16 17 Date of Birth: _____________________ _____________________________________________________ _____________________________________________________ F (circle one) Shirt Size XS S M L XL XXL Phone Number______________________________ Mobile _____________________________________ Club_______________________________ Parent Name and Mobile _____________________________________ Events 1. __________ 2. ___________ 3. ___________ 4. ___________ 5. ___________ 6. ____________ (in order of Preference) Performances 1. __________ 2. ___________ 3. ___________ 4.___________ 5. __________ 6. ___________ Signature__________________________________________ Parent/Guardian Please enclose a Birth Certificate copy if you haven’t supplied one previously for 12-13 or U16-U18 Interprovincials. Remember if you send in a nomination form, you are part of the team, it is extremely important that if circumstances change a selector is notified. Selection involves event composition only.