Coach Personal Details Form

Please complete personal info form below.

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Name *

First

Last

Date of Birth *

12/08/1995

Mobile Number *

Email *

Address *

Preferred Age Group *--- Select Choice ---U8U10U12U14U16U18

Coaching Experience *

(Brief details)

Available Date Number

Certifications / Qualifications *

(if any)

Current Working With Children Check (WWCC) *--- Select Choice ---YesNo

WWCC Number

(if applicable)

Which game would you like to apply to coach? *--- Select Choice ---BasketballSprintingMiddle distance and cross countrySprinting, Middle distance and cross countryLong jump and High JumpShot putJavelin Throw

Available Days & Time

(e.g., weekdays 4-6pm, weekends 2-4pm)

Emergency Contact Name *

First

Last

Relationship *--- Select Choice ---SpouseFriendBrotherSisterPartnerOther

Emergency Mobile Number *

Consent *

• I agree and give consent for background and police checks

Submit

*Declaration & Authorisation
Background & Police Check Consent
I confirm that the information provided is true and correct. I understand that Khalsa Shaouni Lions Sports Club is committed to providing a safe environment for all players.
I authorise KS Lions Sports Club to conduct or request:
A Police Check
A Working With Children / Background Check
as part of the onboarding process. I agree to provide any additional information required for these checks.