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Coaching Application 2022

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?*
    It is a requirement of undertaking the role that you are double vaccinated against COVID-19 or hold a Medical Contraindication. Proof will be requested. *
    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.