2025/26 SLSWA Little Nippers & Nippers Carnival Reimbursement Form (Oct to Dec 2025)
Round 2 for Oct to Dec carnival entry fees. Please select from the carnival list below that your child/children entered and attended, between October to December 2025 for entry fee reimbursement. Submissions need to be received by no later than 5pm Tuesday 31 March 2026. Reimbursements will be paid on or before 30 April 2026. *Receipts need to be attached as proof of purchase. **No submissions will be accepted after this date.
Applicant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Competitor/s name:
Please include the full name of your child/children
Oct - Dec 2025 SLSWA carnivals
Fuel to Go & Play WA Endurance Championships & Nipper Gold - Oct 11
1 & 2 km Run Series - 22 Nov
Fuel to Go & Play Alkimos Development Carnival - 30 Nov
1 & 2 km Run Series - 5 Dec
Fuel to Go & Play Nippers Carnival 1 - Dec 7
Fuel to Go & Play Little Nippers Carnival 1 - Dec 14
1 & 2 km Run Series - 19 Dec
Please attach copies of all Carnival Entry receipts
*
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Total to be reimbursed $
Bank details for refund to be paid into:
*
Account Name
BSB
Account Number
Submit
Should be Empty: