NORTHERN RIVERS ZONE PSSA
CROSS COUNTRY CARNIVAL
VENUE: Corndale Public School, CORNDALE via Lismore
DATE: Friday 22nd May 2015
CARNIVAL CONVENORS: Jane Varcoe
Corndale Public School
Ph:6628 4305 Fax: 6628 4131
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 Maclean Public School. Cheques made out to Northern Rivers Zone PSSA.
AGES: The age of a competitor is determined as the age they turn in 2015.
SCHEDULED PROGRAMME: -
10.00am Teams arrive
10.15am Assemble in marshalling area and walk the course
10:30am Team Managers meeting
10.40am 8/9 year girls (including AWD) 2000m
11.00am 8/9 year boys (including AWD) 2000m
11.20am 10 year girls (including AWD) 2000m
11.40am 10 year boys (including AWD) 2000m
12.00pm 11 & 12/13 year boys AWD (2 events) 2000m
12.20pm 11 & 12/13 year girls AWD (2 events) 2000m
12.40pm 11 year girls 3000m
1.00pm 11 year boys 3000m
1.20pm 12/13 year girls 3000m
1.40pm 12/13 year boys 3000m
2.00pm Finish 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+ students 6 entries per age division
400+ students 5 entries per age division
Less than 400 students 4 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 2000m ** 8/9 years girls AWD 2000m
** 10 years boys AWD 2000m ** 10 years girls AWD 2000m
11 years boys AWD 2000m 11 years girls AWD 2000m
12/13 years boys AWD 2000m 12/13 years girls AWD 2000m
** = Events will be run concurrently with their peers
11 years and 12/13 years events will be run separately to their peers due to different distances required to be run. 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, North Coast 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 Kempsey Friday 5th June, 2015. 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 22nd May 2015
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 Maclean Pubic 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
· Anaphylaxis YES / 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 www.sportinginjuries.com.au.
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
www.sports.det.nsw.edu.au or www.northernriverspssa.com
If you have a concern with this occurring, please contact the team management or Regional Sport Organiser immediately.
Principal’s Declaration Student: ______
· 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 ImpairedID / 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 minutes Ages: 11, 12 and 13 years is 13 minutes
All AWD races are 2000m (2km) events
Name: First Family
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 Principal Date
FAX TO THE ZONE SECRETARY: 02-6629 3181 by Friday 15th May 2015
Student’s entries must be accompanied by documentation confirming disability.
For example:
NSW Council for the Disabled disability confirmation and classification
TF20- Ausrapid classification (NEW – information sent to schools in 2014).
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.