Host a Community Coaching Course Application Form
Club Name
*
Club Contact / Course Coordinator Name
*
This should preferably be the Club Coach Coordinator (CCC)
Contact Number
*
Contact Email
*
Proposed Course
*
MiniRoos Certificate (4-8 years)
Skill Training Certificate (9-12 years)
Game Training Certificate (12-17 years)
Senior Certificate (17+ years)
Proposed Venue Name
*
Proposed Venue Address
*
Please include Street Address, Suburb and Post Code.
Preferred Start Date(s) and Times
*
/
Day
/
Month
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Alternate Start Date(s) and Times
*
/
Day
/
Month
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Number of your club coaches attending
*
For a course to go ahead there must be a minimum of 12 confirmed attending coaches - where support is required to achieve these minimum participation numbers the MFA Community Football Manager can provide support via promotion to other local clubs.
Our club can provide the following equipment (if required):
Balls (12 minimum)
Bibs
Cones
Players (suitably aged to course delivery)
Goals (suitably aged to course delivery)
Our club will make the following pitch space available:
*
1/8 pitch (MiniRoos only)
1/4 pitch (minimum required for Skill Training)
1/2 pitch (minimum required for Game Training & Senior)
Our club can provide these facilities:
*
Meeting room
Audio / visual equipment (e.g. projector or screen for presenting content)
Male and Female change rooms and toilets
Refreshments for participants (e.g. tea, coffee, water or open canteen)
None of the above
Other
Additional comments:
Feel free to provide any further information (e.g. your long term coach development plan at the club) or ask any questions here.
Please note that submission of this form does not guarantee a course will be scheduled. After submitting the form, the Community Football Manager will be in contact within 48 hours to confirm and discuss further.
Submit
Should be Empty: