Coach Application Name* First Last Email* Enter Email Confirm Email Mobile Number*Home PhoneAddress* Unit/House Number Street Name Suburb Post Code Season*2018 SummerDo you wish to coach your child's team?*YesNoChild's Name* First Last Do you wish to coach a second child's team as well?*NoYes2nd Child's Name* First Last Do you wish to coach a third child's team as well?*NoYes3rd Child's Name* First Last Please add any further comments/requests regarding your coaching roleDo you have a current 'Working with Children Certification'*YesNoNot required (coaching own child)Current Teacher (enter VIT number below)Current Police Officer* Not required if you are coaching your own child, a current teacher, or a current police officer. Otherwise, you must obtain a WWCC and notify the club prior to commencing coaching.Please enter your WWCC registration number*Please enter your VIT number*At what level have you coached before? (mark all that apply)* No prior experience Piranhas Domestic Level Other Club Domestic Level Representative Level School/Education Level Other Please give details*Please mark your coaching qualifications (if any) Level 0 (Introductory) Level 1 (Club level) Level 2 (Association level) Have you obtained any certifications relevant to the coaching role? (mark all that apply) First Aid Management & CPR CPR Analphlayxis and Asthma Other Please give details*Policies and Codes of Conduct* Accept Have you read and do you agree to comply with the club's policies and codes of conduct? Click here to view Club Policies and Codes of ConductNameThis field is for validation purposes and should be left unchanged.