GC COACHES

COACHES FORM

If you have completed this form in a prior visit this year, please do not complete this form again

Coach First Name *

Surname *

Occupation

Type of Coach

Coaching Accreditation *

Upload Accreditation

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List type of Volunteer (Coach U10s etc) *

Address *

Postcode *

State/Region *

Email Address *

Contact Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Portrait of Participant (Passport like photo) *

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Blue Card

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Privacy Statement

Please note: The requirement to hold a Blue Card to volunteer with children in Queensland is a legislative requirement enforced by the Queensland Government. Our Zones will support volunteers were possible, but the responsibility to apply for/renew Blue Cards, and provide correct details to enable for Blue Cards to be linked to the Club rest with the individual Blue Card holder/applicant.

I have read and understand the Code of Conduct of Queensland Tonga Rugby League (QTRL)

To be signed by the Volunteer:

Signature *

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Coaches Name *

Dated *

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