PLANNING OFF CAMPUS ACTIVITIES

Basketball Tasmania 2014 High School Regional Tournament Expression of
Interest Form
My son/daughter, …………………………………………………………….. has expressed an interest in participating in
the Basketball Tasmania 2014 High School Regional Tournament.
I confirm my child IS registered with Basketball Tasmania, please find attached my payment of $30
Registration number ……………………………………
I confirm my child IS NOT registered with Basketball Tasmania and enclose payment of $40 including
$10 for Basketball Tasmania’s standard insurance for the Tournament.
I understand that the supervision of my child during the tournament is my responsibility.
Student Name: ______________________________________Tutor Group: ____________________
Parent Signature: _____________________________________ Date: _________________________
Please refer to the online copy of this document (TASED-4-1765), located on the Tasmanian Department
of Education’s website to ensure this version is the most recent. P a g e | 86