2026 AMPOL LITTLE ORIGIN
Entrant Details
Entrant Name
*
First Name
Last Name
Entrant Email
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example@example.com
Entrant Mobile Phone Number
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Please enter a valid phone number.
School Details
School Name
*
School Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Teacher Details
Teacher Name
*
First Name
Last Name
Teacher Email
*
example@example.com
Teacher Mobile Phone Number
Please enter a valid phone number.
Entry Details
Is your School able to field 10 male and female players from grade 5 & 6 (Ages 10-12)?
*
Yes
No
Favourite State of Origin team?
*
Queensland Maroons
New South Wales Blues
What would the Ampol Little Origin Experience mean to your school?
*
Tell us in 100 words or less
0/100
If your School was selected, how would you spend the Ampol $5000 grant?
*
Tell us in 100 words or less
0/100
My nominated school is located within 150km of the below cities:
*
Brisbane
Gold Coast
Melbourne
Sydney
Newcastle
Have you signed up as an NRL School Ambassador for 2026?
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Yes
No
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