THE SUBMARINERS CHALLENGE 2021 – HOLBROOK SUBMARINE MUSEUM

First Name

Surname

Your School

Your grade

What grade are you in at school

Contact Email Address

PROVIDE AN EMAIL WE CAN USE TO CONTACT YOU

Contact Mobile Phone No.

PROVIDE A CONTACT PHONE No WE CAN CONTACT YOU THROUGH

Other Phone Contact No.

ALTERNATE CONTACT PHONE No WE CAN CONTACT YOU THROUGH

Parent or Guardians Permission to enter – Names

YOU MUST HAVE YOUR PARENTS or GUARDIANS PERMISSION TO ENTER THE CHALLENGE

Parent or Guardians contact details – Email address

WE WILL BE SENDING INFORMATION ABOUT THE CHALLENGE

Parent or Guardians Contact Phone No.

WE MUST HAVE CONTACT No FOR THEM

Teacher(s) Endorsement – Name(s)

IT IS ESSENTIAL TO HAVE YOUR TEACHER(S) ENDORSEMENT TO ENTER THE CHALLENGE

Teachers(s) Contact Phone No.

WE MUST HAVE AT LEAST A SCHOOL TEACHER OR SCHOOL No

INDIVIDUAL ENTRY – Challenge Category (optional)

Select one or multiple categories you personally want to enter

Australian Submarine History

Submarine Science and Technology

Submariners and Submarine Art

TEAM ENTRY – Challenge Category your Team(s) wish to enter (optional)

Select one or multiple categories your Team wants to enter

Australian Submarine History

Submarine Science and Technology

Submariners and Submarine Art

TEAM NAME(S) (optional)