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Trainer Application 2019

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*

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.