INTENTION TO COMPETE FORM 2024 – PRIMARY #93ΔSCHOOL– Select –ACC CASEYBALLARATBELGRAVE HEIGHTSCHAIROCOVENANTEDINBURGHFLINDERSHEATHDALEHEATHDALE MELTONHEATHERTONHERITAGEHILLCRESTKERANGLIGHTHOUSEMARANATHAMT EVELYNNORTHSIDERED ROCKRIVERCRESTST ANDREWSWAVERLEY NARRE WARRENWAVERLEY WANTIRNAWYNDHAMPLEASE NOTE:1. All schools that are members of CSEN in 2023 are assumed to renew membership with CSEN in 2024 and will be invoiced accordingly, unless CSEN has received notification of your school’s intention to withdraw from membership twelve months prior to the start of the 2024 school year (as per rule 2.5). 2. Membership and event fees for 2024 will be provided to schools via the CSEN Board Chair prior to the end of 2023. 3. The responses given by schools on this form will determine which events proceed which will in turn impact budgeting. Some events may be combined if there is insufficient interest. 4. This form is not the entry form for events. This form helps us determine if events are financially viable to run. All schools are expected to complete an entry form for each event they wish to participate in by the due date. 5. Deposits are due from schools for all events that are selected. Deposits have been set at $200 per event for 2024. 6. Please read in conjunction with the CSEN Calendar. Where a date on this form differs from the calendar, please use the calendar date as being accurate. By signing below, you agree that: 1.You have permission to sign this form on behalf of the Principal, 2. Your school complies with the CSEN Membership Policy, 3. Your school provides the CSEN Risk Warning to all teachers, parents and students that attend CSEN events throughout the year, and, 4. Your Principal will sign the Principal’s Declaration as required each term and forward to CSEN by the due date.PRINCIPAL (OR AUTHORISED) NAMEPRINCIPAL (OR AUTHORISED) SIGNATURE Sign Here EMAIL ADDRESS TO RECEIVE COPY OF FORM – PRINCIPAL OR SPORT/CULTURAL COORDINATOR CONTACTSPlease ensure the following information is complete and correct. This is where information will be sent. Please send any alterations to the CSEN Executive Officer (karen@csen.au). For selection of Cultural Coordinators, please nominate a staff member who will have sufficient capacity to manage the cultural event information and send to each appropriate staff member for each event.PRINCIPALS NAMEPRINCIPAL EMAILBUSINESS OFFICE NAMEBUSINESS OFFICE EMAILSPORT COORDINATOR NAMESPORT COORDINATOR EMAILSPORT COORDINATOR MOBILE NUMBERCULTURAL COORDINATOR NAMECULTURAL COORDINATOR EMAILCULTURAL COORDINATOR MOBILE NUMBERMAJOR CHAMPIONSHIPSIndicating attendance at the following Championships will attract a non-refundable deposit of $200 per Championship as per the Deposit Policy. Schools that attend the Championships will have the deposit deducted from their invoice at the end of the term. Schools that withdraw from the Championship will not be refunded the deposit as per the deposit policy.MAJOR CHAMPIONSHIPSPRIMARY ATHLETICS CHAMPIONSHIPS– Select –YES – PARTICIPATING (30 STUDENTS)NO – NOT ATTENDINGPRIMARY CROSS COUNTRY CHAMPIONSHIPS– Select –YES – PARTICIPATING (40 STUDENTS)NO – NOT ATTENDINGPRIMARY SWIMMING CHAMPIONSHIPS– Select –YES – PARTICIPATING (20 STUDENTS)NO – NOT ATTENDINGCHAMPIONSHIP EVENTSChampionship Events are one day events in specific sports that have first aid and umpires provided. Medals and shields are awarded for schools that finish first, second and third.PRIMARY BOYS BASKETBALL CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY GIRLS BASKETBALL CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY BOYS NETBALL CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY GIRLS NETBALL CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY BOYS SOCCER CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY GIRLS SOCCER CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGOTHER SPORT OPPORTUNITIESIndicating attendance at the following Sport opportunities will attract a non-refundable deposit of $200 per event as per the Deposit Policy. Schools that attend the event will have the deposit deducted from their invoice at the end of the term. Schools that withdraw from the event will not be refunded the deposit as per the deposit policy.SPORTS LEADERSHIP SUMMIT– Select –YES – PARTICIPATING (MIN 4 STUDENTS)NO – NOT ATTENDINGCULTURAL EVENTSIndicating attendance at the following Cultural Events will attract a non-refundable deposit of $200 per event as per the Deposit Policy. Schools that attend the event will have the deposit deducted from their invoice at the end of the term. Schools that withdraw from the event will not be refunded the deposit as per the deposit policy.EASTERN PRIMARY CHESS CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGWESTERN PRIMARY CHESS CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGEASTERN PRIMARY DEBATING CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGWESTERN PRIMARY DEBATING CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGPRIMARY eSPORTS CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT PARTICIPATINGPRIMARY MASTERMINDS CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGPRIMARY MUSIC SHOWCASE– Select –YES – PARTICIPATING (20 STUDENTS)NO – NOT ATTENDINGPRIMARY PUBLIC SPEAKING CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGPRIMARY WORD PLAY WORKSHOP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGPRIMARY WORD PLAY CHAMPIONSHIP– Select –YES – PARTICIPATINGNO – NOT ATTENDINGSubmit Form