NEW SOUTH WALES COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
STATE TEAM INFORMATION PACKAGE
RUGBY UNION 2013
Contained in this package is the following information:-
1.
Congratulations and information regarding your selection.
2.
Team Levy Information
3.
Calendar of events
4.
The CHS Code of Behaviour and the expectations of CHS representatives
5.
Representative Team Consent Form and Permission to play Rugby Union Form
6.
Team Selection advice to your School Principal and C.H.S. Fundraising Sheet
7.
Team Levy/Apparel Order forms
Please return all the required information to your Team Manager by:
Friday 31st June 2013 attendance at the 1st training session
TEAM MANAGEMENT DETAILS
Under 16's
TEAM MANAGER:
TEAM COACH:
Paul Kipp Kanahooka High School
Andrew Curnow Blaxland High School
The information that needs to be returned must be returned by 31st June 2013 at the first Training run and
should be directed to the Team Management:
NSW CHSSA – LOCKED BAG 1530, BANKSTOWN, NSW, 2200 PH (02) 97076916 FAX (02) 97076937
E mail- jacqueline.patrick@det.nsw.edu.au
106765563
NEW SOUTH WALES COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
Dear team member,
On behalf of the Executive and General Council of the New South Wales Combined High Schools Sports
Association, congratulations on your selection as a State team member. Listed on the front cover are the
Team Management responsible for your team. The Team Management will notify you of all details, other
than those listed below, regarding your team commitment. Attached is the necessary team
documentation that is required to be completed prior to your C.H.S. participation.
1. Team Selection advice to your School Principal
This sheet is to be handed to your school Principal immediately you return to school after your team
selection.
2. The C.H.S. Fundraising Sheet
Please hand this sheet to your school Principal also, along with your Team Selection advice sheet.
3. Ordering of Apparel and Payment of Team Levy
The Team Levy/Apparel Sheet enclosed should be completed and returned to the team manager as
required, for the ordering of apparel. Please attach your levy cheque to this form. For accounting
purposes it is extremely important that your levy cheque is attached to this sheet and returned to your
Team Manager at the first Training session on the 31st June 2013.
4. Representative Team Consent Form
Could all sections be completed and returned to the Team Manager on the first training day, Friday 31st
May 2013. Please note that you will need to attach a copy of your birth certificate, a current medical
certificate, (stating that you are fit to participate in the NSWCHS Rugby Representation Program) and
your levy cheque.
5. The CHS Code of Behaviour and the expectations of CHS Representatives
Team members are expected to behave appropriately at all times, as per the Combined High Schools
"Code of Behaviour". If the "Code of Behaviour" is violated by a team member, and disciplinary action
has to be taken, this could result in the team member being sent home at his or her expense.
If team members require any clarification of any aspects of the "Code of Behaviour" they should
contact team management prior to the Sporting Program.
6. Team Commitments
The commitment to the state team commences at the time of assembly, immediately prior to the
championships. Where teams are travelling to championships, it is association policy that all team
members must travel to the event as per the travel arrangements organised by the NSWCHSSA.
Please consider carefully your availability for team selection with regard to other commitments you may
have. Your team manager will inform you of assembly details and travel arrangements at the time of your
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selection.
Where locality is a factor, travel exemption may be granted. In this instance team members must meet
their team management at a pre arranged venue at the specified arrival time. Team members who are
being privately accommodated, will also be required to meet the team at this time.
If you require any further information, please consult your team manager.
IMPORTANT INSTRUCTIONS REGARDING TEAM DOCUMENTATION
The following documentation must be returned to your Team Manager:
 the NSWCHS Rugby Representation Program Consent Form,
 the Permission to play Rugby Union Form,
 the copy of your BIRTH CERTIFICATE,
 the MEDICAL CERTIFICATE
 the LEVY CHEQUE attached to the Team Levy/Apparel Sheet
 the NSWSRU Player Profile form
as per the return date listed on the front cover of this package.
Once again, congratulations on your selection. If any further information is required please feel free to
call the team management.
Yours Sincerely,
JACKY PATRICK (REL)
Executive Officer- NSW CHS
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Message from the CHS Rugby Convenor
Dear Player
Congratulations on your selection in the NSWCHS Rugby squad for 2013. This is a great honour you
have earned; hopefully it will lead to further representation at higher levels and will help you develop as a
player both now and in the future.
The program of commitment is attached along with relevant information. Please read it carefully. There
may be some unforeseen changes so check with your coach/manager at all times. You will need to
complete all the relevant items in your player’s package and give it to your Team Manager on the first
Training day.
First Training day / payment of levy / gear distribution
Date:
Friday 31st June 2013
Venue:
Endeavour Sports High School,
Taren Pt Rd & The Boulevarde,
Caringbah NSW 2229,
Meet time:
TBC
Details:
Arrive at venue ready for training.
Bring with you the following documentation:
 the NSWCHS Rugby Representation Program Consent Form,
 the Permission to play Rugby Union Form,
 the copy of your BIRTH CERTIFICATE,
 the MEDICAL CERTIFICATE
 the LEVY CHEQUE attached to the Team Levy/Apparel Sheet
 the NSWSRU Player Profile form
2013 LEVY
Thanks to sponsorship and a grant from NSWRU the Levy for 2013 is $350 (which includes the items in
players kit). Cheques should be made payable to "NSWCHS Rugby" and given to your Team Manager
attached to the Team Levy/Apparel Sheet at the first training session.
NSWCHS Rugby has a very fine tradition and a proud record of discipline both on and off the field to be
maintained. Take it upon yourself to take pride in the team and maintain that high standard, so that
future teams are offered the opportunities you have been given.
Remember you are representing NSWCHS Rugby, your team, your school, yourself, your parents and
the team management. Make a commitment to your team, always be neat and correctly attired, behave
and play your Rugby by the laws of the game in a manner that will bring nothing but the highest of credit
to all of the above mentioned.
Play hard, play fair and strive for a place in a NSW Schools Squads.
Players Levy (players kit).
The levy includes the following:
CHS Tie,
CHS Polo Shirt,
CHS Tracksuit,
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CHS Gear Bag,
CHS Jersey, Shorts, Socks,
CHS Training Jacket
Team Photo, Medical, Training, transport etc
CHS Training Camp (5th and 6th June)
Dress Code.
Number 1 dress code: when attending games and functions:
White dress shirt (tucked in) top button done up, CHS tie, CHS Tracksuit top, grey slacks (no jeans),
clean black or brown leather shoes (no joggers). No caps.
Number 2 dress code:
NSWCHS track suit, polo shirt, joggers.
Players must supply their own strapping tape.
Take pride in yourself, your parents, your school, your team and CHS Rugby. All players are to be in full
correct attire at all times both on and off the field.
Do not forget to stay in regular contact with your Team manager.
Arrival times on Match days.
On Match days 2nd XV players are to report 1 hour prior to the game or as directed by your coach. 1st
XV players please be at ground prior to 2nd XV kick off. Your support will be invaluable.
ALL PLAYERS ARE TO STAND BY AS RESERVES FOR NEXT GAME and ALL PLAYERS ARE
REQUESTED TO STAY FOR OFFICIAL FUNCTIONS.
THE QUALITIES OF A TRUE RUGBY PLAYER
The Qualities of a "True Rugby Player"
1. Plays the game for the games sake.
2. Plays for his side not for himself.
3. Is a good winner and a good loser, modest in victory and generous in defeat.
4. Accepts all decisions in the proper spirit.
5. Is chivalrous towards a defeated opponent.
6. Is unselfish and always ready to help others to become proficient.
7. As a spectator and a player applauds good play from both sides.
8. Never interferes with the referee or touch judge no matter what the decision.
9. Never brings the team or the game into disrepute.
Once again congratulations on your selection
Paul Ridgway
Albion Park High School
NSWCHSSA Convener
May 2013
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NSWCHS Rugby Union Under 16
Representative Fixtures Calendar 2013
Event
Date
NSWCHS Training Day and gear Friday
Distribution @ Endeavour SHS May 31
Matches
Status
Training only
1st, 2nds and 16's
NSWCHS Training
ISA v CCC v CHS (3
way trial)
AICES v Country
NSWSRU U16’s
Practice Matches
NSWCHS Training Day and gear
Distribution @ Endeavour SHS
Sunday
June 16
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
Saturday
June 22
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
Sunday
June 23
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
NSWSRU U16
CHAMPIONSHIPS
@ Knox Grammar
Wednesday
August 28
Waratah Shield, Arthur
Buchan Shield, Richard
Shaw Shield, 15's Girls
Shield, Bryan Palmer
Shield
NSWCHS Fixture
NSWCHSSA Rugby Union State
Knockout finals
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NEW SOUTH WALES
COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
(NSW ALL SCHOOLS)
TEAM SELECTION ADVICE
Dear Principal,
On behalf of the New South Wales Combined High Schools Sports Association may I take this
opportunity to congratulate the student listed below on their selection as a NSW All Schools
Team Member in the sport listed below.
New South Wales Combined High Schools representation is the highest honour a student in
New South Wales can attain. In achieving this representation they have become part of a great
tradition.
All information regarding their team selection and the ensuing program they will be involved in,
will be forwarded to the team member by the Team Management.
Each team member has been issued with a sheet to advise on fund raising and if your school is
able to provide some assistance to help this student with their representation this would also be
very much appreciated.
Could I also request that this selection is acknowledged at an appropriate time.
Many thanks for your anticipated co-operation.
JACKY PATRICK (REL)
Executive Officer
THIS INFORMATION TO BE COMPLETED BY THE TEAM MEMBER AND HANDED TO YOUR SCHOOL
PRINCIPAL
Name:
....................................................................
School:
.....................................................................
Sport:
RUGBY UNION
Date and Venue: VARIOUS VENUES. DATES: Friday 31ST May, Sunday 2nd June, Sunday
16th June, Saturday 22nd June and Sunday 23rd June
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NEW SOUTH WALES
COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
FUNDING OF STATE REPRESENTATIVES
The Combined High Schools Sports Association provides a varied range of sporting activities for
children throughout the State. These activities range from school, to zone, region and State
level. The ultimate achievement is the selection in the New South Wales team for an Interstate
or, on rare occasions, International Exchange.
Both the student and the school should be proud of this achievement. In some cases difficulties
are found in raising the necessary finance to pay the required levy, which is used to meet costs
of transport, playing and travelling apparel for the child. If your school is able to assist this
would be appreciated.
Some suggestions for your school to assist with the levy are:
a)
Direct Grant from P and C or School Council.
b)
Appeals to local sporting clubs, organisations or private firms.
c)
Use of competitions, street stalls, or collections within the school and community.
d)
Activities such as barbecues, cake or toffee days, social dances, etc., could be 8rganized
on a school basis.
By using these activities, the school and community can share in the students achievement of
becoming a State representative.
For our Association to continue to assist in the sporting, educational and social development of
children throughout the State we need the assistance of teachers, school and communities.
Therefore, in anticipation we wish to thank you for any assistance you are able to provide.
THE COUNCIL OF THE NSW CHSSA
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CHS TEAM LEVY/ APPAREL FORM
(NUMBER…......)
OFFICE USE ONLY
PLEASE ATTACH YOUR CHEQUE TO THIS FORM AND RETURN TO YOUR TEAM
MANAGER
NAME:
SPORT:
Rugby Union
VENUE OF CHAMPIONSHIP:
See calendar
DATES:
See calendar
AIRLINE (FORWARD)
AIRLINE (RETURN)
N/A
N/A
Players Kit
COST INC.
GST
Tracksuit
135.00
Dress Polo Shirt
40.00
Tie #
20
Sports Bag #
Jersey, shorts and
socks
Wet Weather Training
Jacket # (if toured in
2013)
Team Photo
40
SIZE/ NUMBER ORDERED
TOTAL
COST
65
50
40
PLEASE NOTE THAT BOLD ITEMS ARE COMPULSORY
Items marked with # are optional if players have 2012 or 2013 tour gear.
TOTAL LEVY
PLEASE NOTE: IF YOU ALREADY HAVE ANY ITEMS PLEASE INDICATE IN SIZE/NUMBER
ORDERED COLUMN THAT YOU DO NOT REQUIRE AND ADJUST TOTAL AMOUNT AS
REQUIRED.
TOTAL COST OF LEVY AS PER ATTACHED CHEQUE
PLEASE ATTACH YOUR CHEQUE HERE
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REPRESENTATIVE CONSENT FORM
1.
SPORT:
__________________________________________________________
DATE:
__________________________________________________________
VENUE:
__________________________________________________________
Student Details (Please print clearly)
Student Full Name:________________________________________________________________________
Parents/Caregiver Full Name: _______________________________________________________________
Address: _______________________________________________________ Postcode: ______________
Date of Birth: ______________________ School: ______________________________________________
Phone:
(Home)___________________ (Work) ____________________ (Mobile) __________________
Is the student of Aboriginal or Torres Strait Islander origin?
Yes, Aboriginal
2.
Yes, Torres Strait Islander
No
Yes, both Aboriginal and Torres Strait Islander
Medical Details
Medicare Number: ____________________________________________Exp Date___________________
The date of my child’s last tetanus injection was: ________________________________________________
My child is allergic to: _____________________________________________________________________
Any medical details or special needs which the team manager might need to know:
______________________________________________________________________________________
_______________________________________________________________________________________
Important Information: In the event of injury, no personal injury insurance cover is provided by the NSW Department of Education and
Training for students in relation to school sporting activities, physical education lessons or any other school activity. Parents and
caregivers are advised to assess the level and extent of their child’s involvement in the sport program offered by the school, school sport
zone, area and state school sport associations when deciding whether additional insurance cover is required. Personal accident
insurance cover is available through normal retail insurance outlets.
Parents who have private ambulance cover also may want to check whether that cover extends to interstate travel and make additional
arrangements as considered appropriate. NSWDEC has ambulance coverage for NSW Public School students and reciprocal
arrangements exist in all Australian states and territories EXCEPT South Australia and Queensland.
The NSW Supplementary Sporting Injury Benefits Scheme, funded by the NSW Government, provides limited cover for serious injury resulting in the
permanent loss of a prescribed faculty or the use of some prescribed part of the body. Further information can be obtained from
www.sportinginjuries.com.au
3.
Billeting Details
Tick (  ) the appropriate box.
My child WILL require a billet.
My child WILL NOT require a billet and will be staying with the person listed below at the given address.
Mr / Mrs
___________________________________________________________________________
Address:
____________________________________________________________________
Post Code: ______________________
Telephone No.: _____________________________
Relationship to Student:______________________________________________________________
I understand that the responsibility for the welfare and conduct of students not being billeted (outside of school hours) rests with
the nominated person.
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4.
Travel Details
Tick (  ) the appropriate box.
Please note: Where travel arrangements are organised, all team members must travel with the Official
Team to the Carnival.
My child WILL travel with the official team to and from the Carnival.
Boarding at ________________________________ Returning to _________________________
My child WILL travel with the official team to the Carnival boarding at _______________________
_______________________ but return from the Carnival with _____________________________
My child WILL travel privately with ________________________________ to and from the
Carnival.
5.
Privacy Notice
The personal information provided on this permission note, will be used by the Department of Education and
Training for general administration and communication and other matters of welfare relating to your child at
this event. The provision of this information is voluntary but your child may not be able to participate if it is not
provided. This information will be stored securely and may be amended at any time by contacting the team
management.
Please be aware that the media exposure at this event may result in your child’s name, school details and/or
photograph appearing in a newspaper, on television or on websites including the School Sport Unit website at
www.sports.det.nsw.edu.au
If you have a concern with this occurring, please contact the team management or Regional Sports Organiser
immediately.
6.
Principal’s Declaration




I certify that the student whose details appear on this form is enrolled at this school.
I have verified that the date of birth as stated on this form is correct.
He/she has the school authority to represent on this occasion.
A copy of this consent form will be retained by my school.
SIGNED: ___________________________________________
(Principal)
7.
_________________________
(Date)
NOTED BY: _________________________________________
(School Sports Organiser)
Parental Consent






I have read the information issued and I hereby consent to my child participating in this event.
I understand that my child will be under the supervision of Team Manager/s and will not be allowed to visit
friends or relatives without my written permission and that of the Team Managers.
I have sighted the enclosed Code of Behaviour and agree that if my child/ward seriously contravenes
behavioural expectations, he/she may be immediately excluded from the team. Should this eventuate, I
accept full responsibility for my child/ward upon notification of his/her exclusion by the team manager
including the cost of return transport and accommodation.
I understand in having a child/ward represent this Association, I may be asked to billet a visiting student in
the future.
In the event of any accident or illness, I authorise the obtaining, on my behalf, an ambulance and any such
medical assistance that my child may require. I accept full responsibility for all expenses incurred.
NSWDEC has ambulance coverage for NSW Public School students and reciprocal arrangements exist
in all Australian states and territories EXCEPT South Australia and Queensland.
To assist team management at the Carnival and to the best of my knowledge, my child has no medical
condition or injury that places them at risk in participating in this sport activity.
SIGNED: ___________________________________________
(Parent/Guardian)
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_____________________________
(Da
New South Wales Combined High Schools
Sports Association
CODE OF BEHAVIOUR
GENERAL NOTE:You have achieved the honour of being selected in a Representative Team of this
Association. As such you will be acting as an Ambassador for not only this Association,
but also for your Region School Sport Association, School and your family.
As a responsible team member you are required to abide by the Code of Behaviour as
outlined. Your behaviour will determine the opinions that people hold of the New South
Wales Combined High Schools.
The Combined High Schools Sports Association, and all School Sports Associations
have a proud record – strive to uphold it at all times both on and off the sporting arena.
EXPECTATIONS OF COMBINED HIGH SCHOOLS REPRESENTATIVES
a)
Team members are expected to behave appropriately at all times, as per the Combined High Schools “Code
of Behaviour.” If the Code of Behaviour is violated by a team member and disciplinary action has to be taken,
this could result in the team member being sent home at his or her expense or being referred to the CHS
Disciplinary Committee. If team members are found to have damaged their rooms, they will be charged for
any repairs that have to be undertaken
b)
If team members require any clarification of the “Code of Behaviour” they should consult with team
management.
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CODE OF BEHAVIOUR
AS A TEAM MEMBER
a)
At all times co-operate with your coach, team mates, and opponents - without them you do not
have a competition.
b)
Work equally hard for yourself and your team - your teams performance will benefit and so will your
own.
c)
Compete by the rules and always abide by the referees/umpires or judges decision.
e)
Be a good sport. Encourage fellow team members.
f)
Control your temper. Make no criticism either by word or gesture.
IN ACCOMMODATION
a)
Remember at all times you are representing NSW. You will be expected to follow the
instructions of Team Management at all times.
b)
Observe common courtesies by making your own bed, keeping your room clean and tidy and
assisting where required.
c)
Obeying the instructions of the accommodation management.
c)
Maintain a neat and tidy appearance at all times.
d)
Report any room damage immediately to Team Management
PLEASE NOTE
The consumption of alcohol, cigarettes and illegal or performance enhancing drugs will not be
tolerated. They are not accepted in the normal school environment and therefore will not be
accepted at any time throughout your period of representation.
Any team member who displays inappropriate behaviour on or off the playing field, or who fails
to abide by this “code” may be referred to the Disciplinary Committee, which may take action,
which could include suspension from all school sport programs.
106765563
NEW SOUTH WALES COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
STATE TEAM INFORMATION PACKAGE
RUGBY UNION 2013
Contained in this package is the following information:-
1.
Congratulations and information regarding your selection.
2.
Team Levy Information
3.
Calendar of events
4.
The CHS Code of Behaviour and the expectations of CHS representatives
5.
Representative Team Consent Form and Permission to play Rugby Union Form
6.
Team Selection advice to your School Principal and C.H.S. Fundraising Sheet
7.
Team Levy/Apparel Order forms
Please return all the required information to your Team Manager by:
Friday 31st June 2013 attendance at the 1st training session
TEAM MANAGEMENT DETAILS
TEAM MANAGER:
TEAM COACH:
1st XV
Ron Ashby Warilla High School
2nd XV
Craig Howe Grafton high School
Andrew Fitzgerald Cherrybrook Technology
High School
Ross Dummett Sarah Redfern High School
Under 16's
Paul Kipp Kanahooka High School
Andrew Curnow Blaxland High School
The information that needs to be returned must be returned by 31st June 2013 at the first Training run and
should be directed to the Team Management:
NSW CHSSA – LOCKED BAG 1530, BANKSTOWN, NSW, 2200 PH (02) 97076916 FAX (02) 97076937
E mail- jacqueline.patrick@det.nsw.edu.au
106765563
NEW SOUTH WALES COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
Dear team member,
On behalf of the Executive and General Council of the New South Wales Combined High Schools Sports
Association, congratulations on your selection as a State team member. Listed on the front cover are the
Team Management responsible for your team. The Team Management will notify you of all details, other
than those listed below, regarding your team commitment. Attached is the necessary team
documentation that is required to be completed prior to your C.H.S. participation.
1. Team Selection advice to your School Principal
This sheet is to be handed to your school Principal immediately you return to school after your team
selection.
2. The C.H.S. Fundraising Sheet
Please hand this sheet to your school Principal also, along with your Team Selection advice sheet.
3. Ordering of Apparel and Payment of Team Levy
The Team Levy/Apparel Sheet enclosed should be completed and returned to the team manager as
required, for the ordering of apparel. Please attach your levy cheque to this form. For accounting
purposes it is extremely important that your levy cheque is attached to this sheet and returned to your
Team Manager at the first Training session on the 31st June 2013.
4. Representative Team Consent Form
Could all sections be completed and returned to the Team Manager on the first training day, Friday 31st
May 2013. Please note that you will need to attach a copy of your birth certificate, a current medical
certificate, (stating that you are fit to participate in the NSWCHS Rugby Representation Program) and
your levy cheque.
5. The CHS Code of Behaviour and the expectations of CHS Representatives
Team members are expected to behave appropriately at all times, as per the Combined High Schools
"Code of Behaviour". If the "Code of Behaviour" is violated by a team member, and disciplinary action
has to be taken, this could result in the team member being sent home at his or her expense.
If team members require any clarification of any aspects of the "Code of Behaviour" they should
contact team management prior to the Sporting Program.
6. Team Commitments
The commitment to the state team commences at the time of assembly, immediately prior to the
championships. Where teams are travelling to championships, it is association policy that all team
members must travel to the event as per the travel arrangements organised by the NSWCHSSA.
Please consider carefully your availability for team selection with regard to other commitments you may
have. Your team manager will inform you of assembly details and travel arrangements at the time of your
selection.
106765563
Where locality is a factor, travel exemption may be granted. In this instance team members must meet
their team management at a pre arranged venue at the specified arrival time. Team members who are
being privately accommodated, will also be required to meet the team at this time.
If you require any further information, please consult your team manager.
IMPORTANT INSTRUCTIONS REGARDING TEAM DOCUMENTATION
The following documentation must be returned to your Team Manager:
 the NSWCHS Rugby Representation Program Consent Form,
 the Permission to play Rugby Union Form,
 the copy of your BIRTH CERTIFICATE,
 the MEDICAL CERTIFICATE
 the LEVY CHEQUE attached to the Team Levy/Apparel Sheet
 the NSWSRU Player Profile form
as per the return date listed on the front cover of this package.
Once again, congratulations on your selection. If any further information is required please feel free to
call the team management.
Yours Sincerely,
JACKY PATRICK (REL)
Executive Officer- NSW CHS
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Message from the CHS Rugby Convenor
Dear Player
Congratulations on your selection in the NSWCHS Rugby squad for 2013. This is a great honour you
have earned; hopefully it will lead to further representation at higher levels and will help you develop as a
player both now and in the future.
The program of commitment is attached along with relevant information. Please read it carefully. There
may be some unforeseen changes so check with your coach/manager at all times. You will need to
complete all the relevant items in your player’s package and give it to your Team Manager on the first
Training day.
First Training day / payment of levy / gear distribution
Date:
Friday 31st June 2013
Venue:
Endeavour Sports High School,
Taren Pt Rd & The Boulevarde,
Caringbah NSW 2229,
Meet time:
TBC
Details:
Arrive at venue ready for training.
Bring with you the following documentation:
 the NSWCHS Rugby Representation Program Consent Form,
 the Permission to play Rugby Union Form,
 the copy of your BIRTH CERTIFICATE,
 the MEDICAL CERTIFICATE
 the LEVY CHEQUE attached to the Team Levy/Apparel Sheet
 the NSWSRU Player Profile form
2013 LEVY
Thanks to sponsorship and a grant from NSWRU the Levy for 2013 is $460 (which includes the items in
players kit). Cheques should be made payable to "NSWCHS Rugby" and given to your Team Manager
attached to the Team Levy/Apparel Sheet at the first training session.
NSWCHS Rugby has a very fine tradition and a proud record of discipline both on and off the field to be
maintained. Take it upon yourself to take pride in the team and maintain that high standard, so that
future teams are offered the opportunities you have been given.
Remember you are representing NSWCHS Rugby, your team, your school, yourself, your parents and
the team management. Make a commitment to your team, always be neat and correctly attired, behave
and play your Rugby by the laws of the game in a manner that will bring nothing but the highest of credit
to all of the above mentioned.
Play hard, play fair and strive for a place in a NSW Schools Squads.
Players Levy (players kit).
The levy includes the following:
CHS Tie,
CHS Polo Shirt,
106765563
CHS Tracksuit,
CHS Gear Bag,
CHS Jersey, Shorts, Socks,
CHS Training Jacket
Team Photo, Medical, Training, transport etc
CHS Training Camp (5th and 6th June)
Dress Code.
Number 1 dress code: when attending games and functions:
White dress shirt (tucked in) top button done up, CHS tie, CHS Tracksuit top, grey slacks (no jeans),
clean black or brown leather shoes (no joggers). No caps.
Number 2 dress code:
NSWCHS track suit, polo shirt, joggers.
Players must supply their own strapping tape.
Take pride in yourself, your parents, your school, your team and CHS Rugby. All players are to be in full
correct attire at all times both on and off the field.
Do not forget to stay in regular contact with your Team manager.
Arrival times on Match days.
On Match days 2nd XV players are to report 1 hour prior to the game or as directed by your coach. 1st
XV players please be at ground prior to 2nd XV kick off. Your support will be invaluable.
ALL PLAYERS ARE TO STAND BY AS RESERVES FOR NEXT GAME and ALL PLAYERS ARE
REQUESTED TO STAY FOR OFFICIAL FUNCTIONS.
THE QUALITIES OF A TRUE RUGBY PLAYER
The Qualities of a "True Rugby Player"
1. Plays the game for the games sake.
2. Plays for his side not for himself.
3. Is a good winner and a good loser, modest in victory and generous in defeat.
4. Accepts all decisions in the proper spirit.
5. Is chivalrous towards a defeated opponent.
6. Is unselfish and always ready to help others to become proficient.
7. As a spectator and a player applauds good play from both sides.
8. Never interferes with the referee or touch judge no matter what the decision.
9. Never brings the team or the game into disrepute.
Once again congratulations on your selection
Paul Ridgway
Albion Park High School
NSWCHSSA Convener
May 2013
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NSWCHS Rugby Union
Representative Fixtures Calendar 2013
Event
Date
NSWCHS Training Day and gear
Distribution@TBC
Friday
May 31
NSWSRU U18s Trials
CHS v CCC
@TBC
Sunday
June 2
NSWCHS Training Camp
1st and 2nd @SBHS Rowing complex
Wednesday
June 5
Training only
1st & 2nd
NSWCHS Training
CHS/CAS Dinner
@SBHS Rowing Complex
Wednesday
June 5
N/A
Social Evening
NSWSRU U18s Trials
CAS v CHS @ Cranbrook
Thursday
June 6
CAS I v CHS I
CAS II v CHS II
NSWSRU U18s
Affiliates Fixture
NSWSRU U18s Trials
@ Pittwater Rugby Park
Sunday
June 16
NSWSRU U18s Trials
@ Knox Grammar
Friday
June 21
ARSFU U18
CHAMPIONSHIPS
@ TBC
TBC
NSWCHSSA Rugby Union State
Knockout finals
Wednesday August
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Matches
Training only
1st, 2nds and 16's
CHS I v CCC
CHS II v AICES
CHS 16 A and B v CCC16 v
AICES 16(4 way trial)
ISA I v CHS I
Country v CHS II
ISA II v CCC
CHS I v GPS I
CAS I v ISA I
GPS II v CHS II
CAS II v ISA II
GPS III v CCC
Country v AICES
ARSFU U 18
CHAMPIONSHIPS
@ TBC
Waratah Shield, Arthur
Buchan Shield, Richard Shaw
Shield, 15's Girls Shield,
Bryan Palmer Shield
Status
NSWCHS Training
NSWSRU U18s and 16’s
Affiliates Fixtures
Official NSWSRU
U18’s Selection Trials
Official NSWSRU
U18’s Selection Trials
ARSFU U18
CHAMPIONSHIPS
@ TBC
NSWCHS Fixture
NEW SOUTH WALES
COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
(NSW ALL SCHOOLS)
TEAM SELECTION ADVICE
Dear Principal,
On behalf of the New South Wales Combined High Schools Sports Association may I take this
opportunity to congratulate the student listed below on their selection as a NSW All Schools
Team Member in the sport listed below.
New South Wales Combined High Schools representation is the highest honour a student in
New South Wales can attain. In achieving this representation they have become part of a great
tradition.
All information regarding their team selection and the ensuing program they will be involved in,
will be forwarded to the team member by the Team Management.
Each team member has been issued with a sheet to advise on fund raising and if your school is
able to provide some assistance to help this student with their representation this would also be
very much appreciated.
Could I also request that this selection is acknowledged at an appropriate time.
Many thanks for your anticipated co-operation.
JACKY PATRICK (REL)
Executive Officer
THIS INFORMATION TO BE COMPLETED BY THE TEAM MEMBER AND HANDED TO YOUR SCHOOL
PRINCIPAL
Name:
....................................................................
School:
.....................................................................
Sport:
RUGBY UNION
Date and Venue: VARIOUS VENUES. DATES: Friday 31ST May, Sunday 2nd June, Thursday
6TH June, Sunday 16th June, Friday 21st June.
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NEW SOUTH WALES
COMBINED HIGH SCHOOLS SPORTS ASSOCIATION
FUNDING OF STATE REPRESENTATIVES
The Combined High Schools Sports Association provides a varied range of sporting activities for
children throughout the State. These activities range from school, to zone, region and State
level. The ultimate achievement is the selection in the New South Wales team for an Interstate
or, on rare occasions, International Exchange.
Both the student and the school should be proud of this achievement. In some cases difficulties
are found in raising the necessary finance to pay the required levy, which is used to meet costs
of transport, playing and travelling apparel for the child. If your school is able to assist this
would be appreciated.
Some suggestions for your school to assist with the levy are:
g)
Direct Grant from P and C or School Council.
h)
Appeals to local sporting clubs, organisations or private firms.
i)
Use of competitions, street stalls, or collections within the school and community.
j)
Activities such as barbecues, cake or toffee days, social dances, etc., could be
21rganized on a school basis.
By using these activities, the school and community can share in the students achievement of
becoming a State representative.
For our Association to continue to assist in the sporting, educational and social development of
children throughout the State we need the assistance of teachers, school and communities.
Therefore, in anticipation we wish to thank you for any assistance you are able to provide.
THE COUNCIL OF THE NSW CHSSA
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CHS TEAM LEVY/ APPAREL FORM
(NUMBER…......)
OFFICE USE ONLY
PLEASE ATTACH YOUR CHEQUE TO THIS FORM AND RETURN TO YOUR TEAM
MANAGER
NAME:
SPORT:
Rugby Union
VENUE OF CHAMPIONSHIP:
See calendar
DATES:
See calendar
AIRLINE (FORWARD)
AIRLINE (RETURN)
N/A
N/A
Players Kit
COST INC.
GST
Tracksuit
135.00
Dress Polo Shirt
40.00
Tie #
20
Sports Bag #
Jersey, shorts and
socks
Wet Weather Training
Jacket # (if toured in
2013)
Training Camp
40
Team Photo
40
SIZE/ NUMBER ORDERED
TOTAL
COST
65
50
70
PLEASE NOTE THAT BOLD ITEMS ARE COMPULSORY
Items marked with # are optional if players have 2012 or 2013 tour gear.
TOTAL LEVY
PLEASE NOTE: IF YOU ALREADY HAVE ANY ITEMS PLEASE INDICATE IN SIZE/NUMBER
ORDERED COLUMN THAT YOU DO NOT REQUIRE AND ADJUST TOTAL AMOUNT AS
REQUIRED.
TOTAL COST OF LEVY AS PER ATTACHED CHEQUE
PLEASE ATTACH YOUR CHEQUE HERE
106765563
REPRESENTATIVE CONSENT FORM
8.
SPORT:
__________________________________________________________
DATE:
__________________________________________________________
VENUE:
__________________________________________________________
Student Details (Please print clearly)
Student Full Name:________________________________________________________________________
Parents/Caregiver Full Name: _______________________________________________________________
Address: _______________________________________________________ Postcode: ______________
Date of Birth: ______________________ School: ______________________________________________
Phone:
(Home)___________________ (Work) ____________________ (Mobile) __________________
Is the student of Aboriginal or Torres Strait Islander origin?
Yes, Aboriginal
9.
Yes, Torres Strait Islander
No
Yes, both Aboriginal and Torres Strait Islander
Medical Details
Medicare Number: ____________________________________________Exp Date___________________
The date of my child’s last tetanus injection was: ________________________________________________
My child is allergic to: _____________________________________________________________________
Any medical details or special needs which the team manager might need to know:
______________________________________________________________________________________
_______________________________________________________________________________________
Important Information: In the event of injury, no personal injury insurance cover is provided by the NSW Department of Education and
Training for students in relation to school sporting activities, physical education lessons or any other school activity. Parents and
caregivers are advised to assess the level and extent of their child’s involvement in the sport program offered by the school, school sport
zone, area and state school sport associations when deciding whether additional insurance cover is required. Personal accident
insurance cover is available through normal retail insurance outlets.
Parents who have private ambulance cover also may want to check whether that cover extends to interstate travel and make additional
arrangements as considered appropriate. NSWDEC has ambulance coverage for NSW Public School students and reciprocal
arrangements exist in all Australian states and territories EXCEPT South Australia and Queensland.
The NSW Supplementary Sporting Injury Benefits Scheme, funded by the NSW Government, provides limited cover for serious injury resulting in the
permanent loss of a prescribed faculty or the use of some prescribed part of the body. Further information can be obtained from
www.sportinginjuries.com.au
10. Billeting Details
Tick (  ) the appropriate box.
My child WILL require a billet.
My child WILL NOT require a billet and will be staying with the person listed below at the given address.
Mr / Mrs
___________________________________________________________________________
Address:
___________________________________________________________________________
Post Code: ______________________
106765563
Telephone No.: _________________________________
Relationship to Student:__________________________________________________________________
I understand that the responsibility for the welfare and conduct of students not being billeted (outside of school
hours) rests with the nominated person.
Travel Details
Tick (  ) the appropriate box.
Please note: Where travel arrangements are organised, all team members must travel with the Official
Team to the Carnival.
My child WILL travel with the official team to and from the Carnival.
Boarding at ________________________________ Returning to _________________________
My child WILL travel with the official team to the Carnival boarding at _______________________
_______________________ but return from the Carnival with _____________________________
My child WILL travel privately with ________________________________ to and from the
Carnival.
11. Privacy Notice
The personal information provided on this permission note, will be used by the Department of Education and
Training for general administration and communication and other matters of welfare relating to your child at
this event. The provision of this information is voluntary but your child may not be able to participate if it is not
provided. This information will be stored securely and may be amended at any time by contacting the team
management.
Please be aware that the media exposure at this event may result in your child’s name, school details and/or
photograph appearing in a newspaper, on television or on websites including the School Sport Unit website at
www.sports.det.nsw.edu.au
If you have a concern with this occurring, please contact the team management or Regional Sports Organiser
immediately.
12. Principal’s Declaration
 I certify that the student whose details appear on this form is enrolled at this school.
 I have verified that the date of birth as stated on this form is correct.
 He/she has the school authority to represent on this occasion.
 A copy of this consent form will be retained by my school.
SIGNED: ___________________________________________
(Principal)
_________________________
(Date)
NOTED BY: _________________________________________
(School Sports Organiser)
13. Parental Consent
 I have read the information issued and I hereby consent to my child participating in this event.
 I understand that my child will be under the supervision of Team Manager/s and will not be allowed to visit
friends or relatives without my written permission and that of the Team Managers.
 I have sighted the enclosed Code of Behaviour and agree that if my child/ward seriously contravenes
behavioural expectations, he/she may be immediately excluded from the team. Should this eventuate, I
accept full responsibility for my child/ward upon notification of his/her exclusion by the team manager
including the cost of return transport and accommodation.
 I understand in having a child/ward represent this Association, I may be asked to billet a visiting student in
the future.
 In the event of any accident or illness, I authorise the obtaining, on my behalf, an ambulance and any such
medical assistance that my child may require. I accept full responsibility for all expenses incurred.
NSWDEC has ambulance coverage for NSW Public School students and reciprocal arrangements exist
in all Australian states and territories EXCEPT South Australia and Queensland.
 To assist team management at the Carnival and to the best of my knowledge, my child has no medical
condition or injury that places them at risk in participating in this sport activity.
SIGNED: ___________________________________________
(Parent/Guardian)
106765563
_____________________________
(Date
New South Wales Combined High Schools
Sports Association
CODE OF BEHAVIOUR
GENERAL NOTE:You have achieved the honour of being selected in a Representative
Team of this Association. As such you will be acting as an Ambassador
for not only this Association, but also for your Region School Sport
Association, School and your family.
As a responsible team member you are required to abide by the Code of
Behaviour as outlined. Your behaviour will determine the opinions that
people hold of the New South Wales Combined High Schools.
The Combined High Schools Sports Association, and all School Sports
Associations have a proud record – strive to uphold it at all times both
on and off the sporting arena.
EXPECTATIONS OF COMBINED HIGH SCHOOLS REPRESENTATIVES
a)
Team members are expected to behave appropriately at all times, as per the Combined
High Schools “Code of Behaviour.” If the Code of Behaviour is violated by a team
member and disciplinary action has to be taken, this could result in the team member
being sent home at his or her expense or being referred to the CHS Disciplinary
Committee. If team members are found to have damaged their rooms, they will be
charged for any repairs that have to be undertaken
b)
If team members require any clarification of the “Code of Behaviour” they should
consult with team management.
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CODE OF BEHAVIOUR
AS A TEAM MEMBER
a)
At all times co-operate with your coach, team mates, and opponents - without
them you do not have a competition.
b)
Work equally hard for yourself and your team - your teams performance will
benefit and so will your own.
c)
Compete by the rules and always abide by the referees/umpires or judges
decision.
k)
Be a good sport. Encourage fellow team members.
l)
Control your temper. Make no criticism either by word or gesture.
IN ACCOMMODATION
a)
Remember at all times you are representing NSW. You will be expected to
follow the instructions of Team Management at all times.
b)
Observe common courtesies by making your own bed, keeping your room
clean and tidy and assisting where required.
c)
Obeying the instructions of the accommodation management.
c)
Maintain a neat and tidy appearance at all times.
d)
Report any room damage immediately to Team Management
PLEASE NOTE
The consumption of alcohol, cigarettes and illegal or performance enhancing
drugs will not be tolerated. They are not accepted in the normal school
environment and therefore will not be accepted at any time throughout your
period of representation.
Any team member who displays inappropriate behaviour on or off the playing
field, or who fails to abide by this “code” may be referred to the Disciplinary
Committee, which may take action, which could include suspension from all
school sport programs.
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