2025/26 SLSWA Little Nippers & Nippers Carnival Reimbursement Form (Jan to Mar 2026)
Please select from the carnival list below that your child/children entered and attended, from January to March 2026 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
Jan - Mar 2026 SLSWA carnivals
1 & 2 km Run Series - 9 Jan
Fuel to Go & Play Nippers Carnival 2 - 11 Jan
Fuel to Go & Play Little Nippers Carnival 2 - 18 Jan
Fuel to Go & Play WA Country Carnival - 24-25 Jan
Fuel to Go & Play Nipper Qualifier - 7-8 Feb
Fuel to Go & Play Nipper Beach Champs - 21 Feb
Fuel to Go & Play Little Nipper Champs - 22 Feb
Fuel to Go & Play Nipper Surf Champs - 7-8 Mar
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: