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Coaching Application 2021

Coaching Application

Please fill in the form to be considered

All applications MUST be supported by a completed Working with Children Check.  

Personal Information

Date of Birth*

Polo Shirt Size*

St Marys Rugby League Club Membership Number*

Coaching Qualifications

Do you hold a current Coaches Accreditation?*
Coaching Level:

If yes, what is your Accreditation Number?
If yes, what is the Expiry Date?

Have you completed a current Working with Children Check?*

Working with Children Check Number*

Working with Children Check Expiry Date*

Coaching Preference

Name the age team you would like to Coach:*

Do you have a child playing in this team?*

Name an alternate team you would like to Coach:*

Do you have a child playing in this team?*

By completing this form, I hereby acknowledge and I will abide by the St Marys Junior League Registration policy document which details the values of our club and what is expected.