Qld 10-12yrs School Sport Track & Field Team
Qld 10-12 Years Track & Field Team
ATHLETES NAME: ...... DATE OF BIRTH: ……… SEX: M / F ……
(This form is urgently required. Please return by 28/10/16 if team arranged accommodation IS required
Fax (07) 54 830 400 or email:
All forms must be returned on time: Form A by Friday 28 October
PLEASE NOTE – BILLETING IS ONLY AVAILABLE IN BRISBANE DURING THE TRAINING CAMP
Children who are billeted must:
· accept the household routine of the host family
· not leave the host family without the permission of the team managers.
Part 1 - BRISBANE (Assembly & Training)
Please check all possibilities before requesting a billet.
BRISBANE AND SURROUNDS (SOUTH EAST QLD) TEAM MEMBERS ONLY
Will you billet other members of the team during training?
> YES / NO (please indicate)
If yes, how many _____ Boys or Girls (Please circle) Age: 10, 11 or 12 (Please circle)
Please contact the chief manager Shereene Moy mobile: 0419 681 679 with any concerns.
COUNTRY TEAM (NON-SE QLD) MEMBERS ONLY
Does your child need a billet in Brisbane (nights of 22, 23 & 24 November)? YES / NO (circle your answer)
If yes, for which nights (please circle) ALL / Tuesday Wednesday Thursday
If no, whom will they be staying with in Brisbane?......
Contact address in Brisbane ………......
Contact phone number in Brisbane ………......
Part 2 – SYDNEY (Competition)
Please check all possibilities before requesting accommodation.
Does your child need accommodation with team officials in Sydney (25 – 29 November) ?
Cost is $ 650 - $1000 (TBC) Circle your answer YES / NO
If yes, please fax this form URGENTLY to Shereene Moy, Gympie South State School fax: 54 830 400
If yes, TRANSFER THIS TOTAL ($ ) TO FORM D
ALL STUDENTS MUST ALSO COMPLETE ACCOMMODATION FORM #10.0
ATHLETES NAME:……………………………………… DATE OF BIRTH: …………SEX: M/F……
Team members without a family / friend looking after them, who require accommodation, are to arrive in Brisbane prior to 5.00 pm on Tuesday 22 November.
How is your child getting to Brisbane?
Airline:o Bus:o Train:o Private Transport:o
Arrival Date: ______Arrival Time:………… Flight/Service #: ......
Town departing from: ...... Arrival point in Brisbane:...... ……...
Are they being met in Brisbane by: relatives/ friendso team officials o
Details ………………………………………………………………………………………………..
Departure Date: Friday 25 November
Flight/Service #: ...... Departure Time …… Arrival point in Sydney:...... ……..
Are they being taken to departure by: relatives/friends o billets o
Are they being met in Sydney by: relatives/ friendso team officials o
Details ………………………………………………………………………………………………..
TRAVEL HOME FROM SYDNEY
Does your child require unaccompanied travel from Sydney to get home (if your child is staying in Team Official supervised accommodation, then they must be booked on the same flight as the Team Officials)?
YES / NO (please indicate)
If yes, how will they be returning home?
Airline:o Other: (please provide details)…………………………………….
Departure Date: Tuesday 29 November after 4.00pm
Flight/Service #: ...... Departure Time …………Place of departure: ......
Are they being taken to departure by: relatives/ friends o team officials o
Who will be picking up your child at Brisbane Airport on Tuesday 29 November 2016?
Name: …………………………………………………….. Contact phone number: …………………….
Please supply details of any further unaccompanied travel beyond Brisbane:
…………………………………………………………………………………………………………………….
Qld 10-12yrs School Sport Track & Field Team
ATHLETES NAME: ...... DATE OF BIRTH: ………….. SEX: M/F: ……
FORM C
(This form is urgently required. Please fax if mail is to be after due date - Fax (07) 54 830 400 or email .
All forms must be returned on time: Form C (if needed) by Friday 28 October
UNIFORM ORDER
CIRCLE your size in the correct column and in the QTY column write how many you want and then indicate the total for each order.
COMPULSORY COMPETITION UNIFORM – must have. (a combination of top and bottom is needed) / QTY / COSTSEACH / TOTAL
SINGLET BOYS / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / $32.00
SINGLET GIRLS / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / $32.00
CROP TOP / C8 / C10 / C12 / C14 / A8 / A10 / A12 / A14 / A16 / A18 / $45.00
BRIEFS / C8 / C10 / C12 / C14 / A8 / A10 / A12 / A14 / A16 / A18 / A20 / $35.00
BIKE PANTS / C8 / C10 / C12 / C14 / A8 / A10 / A12 / A14 / A16 / A18 / $40.00
LEGGINGS / C8 / C10 / C12 / C14 / A8 / A10 / A12 / A14 / A16 / A18 / $60.00
RUNNING SHORTS / 22 / 24 / 26 / 28 / 30 / 32 / 34 / 36 / 38 / 40 / 42 / 44 / $25.00
THROWERS SHORTS / 24 / 26 / 28 / 30 / 32 / 34 / 36 / 38 / 40 / 42 / 44 / $32.00
COMPULSORY DRESS UNIFORM – must have.
DRESS POLO SHIRT BOYS / C8 / C10 / C12 / C14 / BXS / BS / BM / BL / BXL / B2XL / B3XL / B4XL / $23.50
DRESS POLO SHIRT GIRLS / C8 / C10 / C12 / C14 / GXS / GS / GM / GL / GXL / G2XL / G3XL / $23.50
DRESS SHORTS / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $22.95
BUCKET HAT / XS-S (55-57cm) / M-L (59-61cm) / $ 8.00
ANKLET SOCKS or / 2 – 7 / 7-11 / 11-14 / $ 7.50
QUARTER SOCKS / 2 – 7 / 7-11 / 11-14 / $ 7.50
SPORTS WATER BOTTLE / $ 4.00
OPTIONAL ITEMS
SPRAY JACKET / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $70.00
TRACK SUIT PANTS / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $32.50
TRACK SUIT JACKET / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $46.50
HOODIE / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $33.00
LONG SLEEVE POLO / 4XS / 3XS / 2XS / XS / S / M / L / XL / 2XL / 3XL / 4XL / $24.95
TRAINING SHIRT / 2XS / XS / S / M / L / XL / 2XL / 3XL / $25.00
SPORTS BAG / $24.00
BACK PACK / $24.00
BACK SACK / $ 7.00
SPORT CAP / One size fits all / $ 8.00
BADGE – Q 10-12 T&F / You will be receiving 1 of these. Do you want to order more for swapping? / $ 6.00
BADGE – QSS / You will be receiving 7 of these. Do you want to order more for swapping? / $ 2.00
TOTAL $
TRANSFER THIS TOTAL TO FORM D
SUPPORTER’S GEAR is now available from Sportswear Queensland directly via this link:
http://sportswearqld.com.au/store/supporters
QLD Team Managers will no longer be taking orders for supporters gear, as all orders and payments can be made directly with the supplier through the link above.
In order to make a purchase all customers will need to create an online account through this website, and prior to ‘Checkout’ customers must nominate a Qld School Sport team to support.
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ATHLETES NAME:...... DATE OF BIRTH……………………SEX: M/F:….
(This form is urgently required. Please fax or e-mail if mail is to be after due date Fax (07) 54 830 400
TOTAL COSTS
Add the following:
FORM C – UNIFORM ORDER / $285.00TEAM PHOTOGRAPH / $25.00
LEVY
Includes competition levy, management costs, administration and excursion / $
Team Official supervised accommodation / $
To be confirmed (est. $650-$1000)
GRAND TOTAL / $
My method of payment is (please indicate) cheque/money order OR EFT
DO NOT SEND CASH.
CHEQUES/MONEY ORDERS ARE TO BE MADE PAYABLE TO:
GYMPIE SOUTH STATE SCHOOL
EFT
If paying by electronic funds transfer (EFT) please use the Electronic Funds Transfer (EFT) Details form included and please fax or email your advice of payment to Gympie South State School as indicated on the Details Form so your payment can be acknowledged. Please show the team members name along with ‘Qld T&F’. Parents are advised to keep a copy of the receipt report from the financial institution involved.
Qld 10-12yrs School Sport Track & Field Team
GYMPIE SOUTH STATE SCHOOL
ELECTRONIC FUNDS TRANSFER (EFT) DETAILS FORM
SUPPLIER #
/ SUPPLIER NAMEGYMPIE SOUTH STATE SCHOOL
POSTAL ADDRESS
/ 50 Exhibition RdGympie, QLD. 4570
PHONE NUMBER
/ (07) 54 830 444FACSIMILE NUMBER
/ (07) 54 830 400EMAIL ADDRESS
/ orA B N
/ 22 088 481 511B/S/B (Bank/State/Branch Number) / 064 416
Branch Name and Address / Gympie Branch
Bank Name / Commonwealth Bank of Australia
Account Number (Maximum 9 char) / 00090351
Account Name / Gympie South State School
Bank Deposit reference / QLD T & F (child’s name)
Preferred Advice Method (Please select how you would prefer to receive an EFT Remittance Advice) / Email
Advise all Payments (Please select whether you would like an EFT Remittance Advice for all payments – NB Notification of all payments will appear on Bank Statements)
/ Yes NoNAME
(Please print) / Annette Bartholomew / DATEPOSITION HELD
(must be a delegated Officer) / Administration OfficerIf you require further information, please contact Mrs Annette Bartholomew, Accounts Payable Officer, Gympie South State School, phone (07) 54 830 444.