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.