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Trainer Application 2022

Trainer Application

Please fill in the form below to be considered

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

    Personal Information
    Date of Birth*
    Polo Shirt Size*
    I understand that I will be required to purchase a training shirt at a cost of $20*
    St Marys Rugby League Club Membership Number*
    Club History
    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:
    Coaching*
    Playing*
    Other
    Training Qualifications
    Do you hold a current Trainers Accreditation?*
    League Safe (Yellow Shirt)*
    Sports Trainer Level 1 (Blue Shirt)*
    Sports Trainer Level 2 (Orange Shirt)*
    Are you a New Trainer?*
    Would you like to attend a Trainers course?*
    Have you completed a current Working with Children Check?*
    Working with Children Check Number*
    Working with Children Check Expiry Date*
    Team Nomination
    Name the age team you would like to Train:
    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.