Application Form for Subsidy of Travel Before 31St December 2013 This Form Is to Be Used by Athletes Who Have Been Selected in a NZSS Paper Team During 2012
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2012 Paper Teams New Zealand Secondary Schools Athletics Association Cross Country Matt Baxter New Plymouth Boys' High School, Rasmus Bengtsson Westlake Boys' High School, Antoine Bonnet Wanganui Collegiate, Rosa Flannagan Rangi Ruru, Audrey Gregan St Cuthbert's College, Jean Kozyniak St Catherine's College, Susannah Lynch St Mary's College Wellington, Jessica Martin Nelson College for Girls, Benjamin Musson Papanui High School, Jacob Priddey Hamilton Boys' High School, Michael Sutton Tauranga Boys' College, Ashleigh Williams Epsom Girls Grammar School, Finn Wilson Auckland Grammar Athletics Greer Alsop Southland Girls’ High School, Matt Baxter New Plymouth Boys’ High School, Chris Blake Tapawera Area School, Matthew Bloxham Orewa College, Mary Bollen Waikato Diocesan School, Henry Boyhan Sacred Heart College (Auck), Jesse Bryant St Bede’s College, Richard Calister Westlake Boys’ High School, Liam Carr Palmerston Boys’ High School, Dalton Coppins Sacred Heart College (Auck), Thomas Currie Long Bay College, Stephanie Dickens Fielding High School, Alex Fafeita Wairarapa College, Rosa Flannagan Rangi Ruru Girls’ School, Molly Florence John Paul College, Shannon Gearey Napier Girls’ High School, Blake Gordon Cambridge High School, Audrey Gregan St Cuthbert’s College, Siositina Hakeai Auckland Girls’ Grammar School, Amelia Hamilton Hillcrest High School, Ariana Harper Wellington Girls’ College, Paige Harwood Kings College, Austen Heuvel Macleans College, Scott Hilliar St Paul’s Collegiate, Talia Horgan Cambridge High School, Mikaela Jefferson Hamilton Girls’ High School, McKenzie Keenan St Margaret’s College, Pascal Kethers Rangitoto College, Bridget Kiddle Samuel Marsden Collegiate, Jonathan Lord Timaru Boys’ High School, Taylor Matthews Massey High School, Eliza McCartney Takapuna Grammar School, Ellie McCleery Waikato Diocesan School, Kieron McDonald Scots College, Ben Moynihan Kings College, Erin O’Brien St Hilda’s Collegiate, Tori Peters St Peter’s College (Gore), Jordan Peters Dilworth School, Amy Robinson Tauranga Girls’ College, James Sandilands Roncalli College, William Smart Wanganui Collegiate School, Tom Smith St Paul’s Collegiate, Nicholas Southgate Rosmini, Gavin Stark Blue Mountain College, Brooke Urquhart Howick College, Kyle Van der Merwe Francis Douglas Memorial College, Montaya Wharehinga Wainuiomata High School, Kerry White Te Aroha College Road Race Zac Barber St Bede’s College, George Beamish Wanganui Collegiate School, Georgia Black Wanganui High School, Antoine Bonnet Wanganui Collegiate School, Sian English Columba College, Jessica Morrison Howick College, Olivia Ritchie Waikato Diocesan School, Warkina Tujuba St Patricks College (Kilbirnie) Application Form for Subsidy of Travel before 31st December 2013 This form is to be used by athletes who have been selected in a NZSS paper team during 2012. Each athlete is entitled to ONE subsidy during this period, when they represent New Zealand as part of an Athletics New Zealand selected team. Payments are made when proof of selection and GST receipts are provided. Travel subsidies up to: NZ Events $200, Australia and South Pacific $300 and Europe $500 Athletes already awarded $200 or $300 can apply for a top up if later selected to go to Europe. Name of Athlete: __________________________ School: _________ Information about the meeting you have been selected to participate in: Name: _______________________________ Venue: __________ Dates: _______________________________ Events: _________ Contact Details: Address: _______________________________ Home Phone: _____________ _______________________________ Mobile Phone: _____________ _______________________________ Office Use Signature of Athlete: _______________________ Amount Paid: __________ Send to: New Zealand Secondary Schools Athletics Association Cheque No.: __________ Suite 3133, PO Box 83000, Johnsonville, Wellington 6440 Date: ______________ .