All applications MUST be supported by a completed Working with Children Check.
Date of Birth*
Polo Shirt Size*
St Marys Rugby League Club Membership Number*
Are you a past/present member of St Marys Rugby League Club?*
Please state number of year’s service with St Marys Rugby League Club:
Do you hold a current Managers Accreditation?*
If yes, what is your PDJRL Registration Number?
Have you completed a current Working with Children Check?*
Working with Children Check Number*
Name the age team you would like to Manage:*
Do you have a child playing in this team?*
Managers Roles and Responsibilities
I acknowledge that with my position as Team Manager I will be responsible for fulfilling the following commitments:
• Attend all Managers Meetings.
• Submit a game report for each and every game.
• Arrange for your team to participate in all organised team & club fundraisers.
• Record all team information in the Mangers Booklet provided.
• If playing away, return a copy of sign-on sheet (pink), to St Marys Rugby League Reception before the close of business Sunday.
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.