NZSSRA
_{est. 1967}

School Declaration

updated: 10 July 2015

REGATTA NAME
SCHOOL NAME

Reg # (NZRA Licence)	First Name	Family Name	Date of Birth	NZSSSC new pupil			Medical Form Attached	Event #(s)
Reg # (NZRA Licence)	First Name	Family Name	Date of Birth	New Pupil	Overseas pupil	Joined school (date)+(school year)	Medical Form Attached	Event #(s)

No rower shall be eligible to compete as a rower or coxswain unless:

he or she is under 19 years of age on the 1st January in the year in which the competition is held; and
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