NORTHERN RIVERS ZONE PSSA

CROSS COUNTRY CARNIVAL

VENUE:Corndale Public School, CORNDALE via Lismore

DATE:Friday 26thMay 2017

CARNIVAL CONVENORS:Jane Varcoe

Coffee Camp Public School

Ph:6689 9259

LEVY:$5:00 per student. To be paid to your school. Schools are asked to receipt money into a trust account/dissection and forward a school cheque to The Channon Public School. Cheques made out to Northern Rivers Zone PSSA.

AGES:The age of a competitor is determined as the age they turn in 2017.

SCHEDULED PROGRAMME: -

10.00amTeams arrive

10.15am Assemble in marshalling area and walk the course

10:30amTeam Managers meeting

10.40am8/9 year girls (including AWD)2000m

11.00am8/9 year boys (including AWD)2000m

11.20am10 year girls (including AWD)2000m

11.40am10 year boys (including AWD)2000m

12.00pm11 & 12/13 year boys AWD (2 events)2000m

12.20pm11 & 12/13 year girls AWD (2 events)2000m

12.40pm11 year girls3000m

1.00pm11 year boys3000m

1.20pm12/13 year girls3000m

1.40pm12/13 year boys3000m

2.00pmFinish and pack up.

Presentations will be made after each event.

Times are estimations – please ensure you are ready for your event when called for marshalling.

All competitors are to compete in school sport/athletics uniform. Shoes are compulsory.

ENTRY CONDITIONS:

1.Competitors will receive a ticket with his/her position in the race on it.

2.Each District/School may enter runners according to the following guidelines:

500+ students6 entries per age division

400+ students5 entries per age division

Less than 400 students4 entries per age division

3.The first six (6) places in each division will be eligible for Zone Team Selection. (See below for details)

4.Each District must supply a minimum of two (2) teachers. One to act as an official on the course and the other to be the team manager.

5.Athlete with Disability (AWD) entries. Each School/District may enter 2 AWD students per event. Students must choose whether they run as an AWD or as an able bodied athlete – they cannot compete in both.

Events to be run as Multi-Disability events

8/9 years boys AWD 2000m8/9 years girls AWD 2000m

10 years boys AWD 2000m10 years girls AWD 2000m

11 years boys AWD 2000m11 years girls AWD 2000m

12/13 years boys AWD2000m12/13 years girls AWD2000m

Events may be run concurrently with their peers

All AWD races are 2000m (2km) events.

CROSS COUNTRY RULES

1. Footwear MUST be worn by all competitors. NO spikes permitted.

2. No pushing, tripping or interference with other competitors is allowed.

3. No competitor is to receive any assistance or refreshments etc. during the race. A competitor may carry their own drink or asthma puffer.

4. Competitors must run around the OUTSIDE of any markers.

5. Competitors should wear their schools’ sports uniform or district uniform during the race. Children should NOT wear Northern Rivers, NorthCoast or NSW singlets.

6. Spectators are not to be on the course.

7. That any parent/guardian, whose behaviour in regard to disputes is unacceptable to the NR Organising Committee, may be placing their child’s future representation in jeopardy.

8. No discman, walkman or MP3 players on course

NORTH COAST REGIONAL PSSA CROSS COUNTRY CARNIVAL

The North Coast Regional PSSA Cross Country Carnival will be held at MurwillumbahFriday 9th June, 2017. Northern Rivers’ competitors must travel privately to this carnival as NO bus transport or billeting arrangements will be organised by the NR Zone PSSA.

Every Northern Rivers Zone PSSA competitor will be required to pay a team levy which will include a running singlet.

NRPSSA ZONE CARNIVAL

REPRESENTATIVE CONSENT FORM

ATTENTION PARENTS! This completed Consent Form and levy should be returned to your school.

SPORT: NRPSSA Cross Country Championships

DATE/S:Friday 26th May 2017

VENUE: Corndale Public School, CORNDALE via Lismore

LEVY:$5:00 per student to be paid to your school.

Schools are asked to receipt levies into a trust account/dissection and forward a school cheque to The Chanon Public School. Cheques to be made out to Northern Rivers Zone PSSA.

Student Details (Please print clearly)

Student Full Name:______

Parents/Caregiver Full Name: ______

Address: ______

Postcode: ______Date of Birth: ______

School: ______

Phone: (Home) ______(Work) ______(Mobile) ______

Medical Details

Medicare Number: ______Expiry Date: ______

The date/year of my child’s last tetanus injection was: ______

My child is allergic to:______

Please indicate if your child has:

  • Asthma YES / NO
  • AnaphylaxisYES / NO

If you have indicated YES, a medical plan from a Doctor must be attached to this form. Relevant medication and/or equipment should accompany the student to the sports trials. The Team Manager should be advised of this at the beginning of the trials.

Any medical details or special needs which the team manager might need to know:

______

______

Medical Insurance:Parents please note there is no personal injury insurance cover provided by the NSW Department of Education and Training for students in relation to school sporting activities, physical education lessons or any other school activity. Parents and caregivers are advised to access the level and extent of their child’s involvement in the sport program offered by the school, school sport zone, area and state school sport associations when deciding whether additional insurance cover, above that provided by Medicare, is required. Personal accident insurance cover is available through normal retail insurance outlets.

The NSW Supplementary Sporting Injury Benefits Scheme, funded by the NSW Government, provides limited cover for serious injury resulting in the permanent loss of a prescribed faculty or the use of some prescribed part of the body. Further information can be obtained from

Travel Details

My child WILL travel privately to and from the carnival with:______

Relationship to my child: ______

Privacy Notice

The personal information provided on this permission note, will be used by the Department of Education and Training for general administration and communication and other matters of welfare relating to your child at this event. The provision of this information is voluntary but your child may not be able to participate if it is not provided. This information will be stored securely and may be amended at any time by contacting the team management.

Please be aware that the media exposure at this event may result in your child’s name, school details and/or photograph appearing in a Newspaper, on Television or on websites including the School Sport Unit website at

or

If you have a concern with this occurring, please contact the team management or Regional Sport Organiser immediately.

Principal’s DeclarationStudent: ______

  • I certify that the student whose details appear on this form is enrolled at this school.
  • I have verified that the date of birth as stated on this form is correct.
  • He/she has the school authority to represent on this occasion.
  • A copy of this consent form will be retained by my school.

SIGNED: ______

(Principal)(Date)

NOTED BY: ______

(Sports Organiser)

Parental Consent

  • I have read the information issued and I hereby consent to my child participating in this event.
  • I understand that my child will be under the supervision of Team Manager/s and will not be allowed to visit friends or relatives without my written permission and that of the Team Managers.
  • I understand in having a child/ward represent this Association, I may be asked to billet a visiting student in the future.
  • In the event of any accident or illness, I authorise the obtaining, on my behalf, an ambulance and any such medical assistance that my child may require. I accept full responsibility for all expenses incurred.
  • To assist team management at the Championships and to the best of my knowledge, my child has no medical condition or injury that places them at risk in participating in this sport activity.

SIGNED: ______

(Parent/Guardian)(Date)

NORTHERN RIVERS ZONE PSSA

CROSS COUNTRY CARNIVAL

Entry Form for Students with a Disability

Classifications eligible to compete are:

HI / T01 / Hearing Impaired
ID / T20 / Intellectually Disabled
PI / T11 &T13 / Visually Impaired
PI / T37 & T38 / Forms of Cerebral Palsy
PI / T45 & T46 / Form of Amputee

Qualifying Times:

There will be no qualifying times for Northern Rivers or North Coast Carnivals, but be aware that qualifying times for the State Championships are as follows:

Primary Boys and Girls

Ages: 8/9 and 10 years is 13 minutesAges: 11, 12 and 13 years is 13 minutes

All AWD races are 2000m (2km) events

Name: FirstFamily

Age:Birth Date:Gender: Male/Female

School:

School Address:Post Code:

School Phone: School Fax:

Type of Disability

Classification:

Age Group: Entry Time:

Approved By:

School PrincipalDate

FAX TO THE ZONE SECRETARY: 02 6629 3181 by Friday 19th May 2017

Student’s entries must be accompanied by documentation confirming disability.

For example:

NSW Council for the Disabled disability confirmation and classification

TF20- Ausrapid classification (information previously sent to schools in 2016).

Hearing impaired students require a current audiogram

Physically disabled students require a current paediatrician’s report / confirmation.

This information is required before students can participate. It is a mandatory requirement for students to progress to higher levels of representation.