NZSSRA: School Declaration

REGATTA NAME  
SCHOOL NAME  

  • All rowers and coxswains including reserves must be listed.
Reg #
(NZRA Licence)		 First Name Family Name Date of Birth NZSSSC new pupil Medical Form Attached Event #(s)
New Pupil Overseas pupil Joined school
(date)+(school year)
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 

No rower shall be eligible to compete as a rower or coxswain unless:
  1. he or she is under 19 years of age on the 1st January in the year in which the competition is held; and
  2. is a bona fide pupil of the school that is:-
    1. be enrolled as a bona fide student at the school of representation and studying at least 80% of a programme which is part of the timetable provided by the school for at least four weeks prior to the event.
    2. have a satisfactory attendance record at the school. The final decision will be at the Principals discretion.

As Principal I declare that all the persons listed above are bona fide pupils of this school and that the information contained on this form is correct.
Principal  
 		 Date  

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