Balmain DFC - Game Leaders & Mentors

Balmain DFC - Game Leaders & Mentors

Expressions of Interest
Name *

First Name Last Name
Contact Email *
Double-check your email address
Contact Phone Number *
Please enter a valid phone number.
Current Date

Day Month Year
Date
Date of Birth *

Day Month Year
Age
Which role are you intending to apply for? *

Game Leader Mentor
Which Day(s) will you generally be available? (select one option)

Saturday only Sunday only Both
If you are a current BDFC player, which team are you in?
E.g. U15/1A, WIL/2B
Parent/Carer Name - 1

First Name Last Name
Parent/Carer Email - 1
example@example.com
Parent/Carer Contact Number - 1
Please enter a valid phone number.
Parent/Carer Name - 2

First Name Last Name
Parent/Carer Email - 2
example@example.com
Parent/Carer Contact Number - 2
Please enter a valid phone number.
Have you read the information about the program on our website (https://www.balmainfootball.com.au/game-leaders/)?

Yes No
If you are aged 18 or over, do you have a valid and current Working With Children (WWC) number?

Yes No N/A - I am under 18
If you are 18 and over and don't have a current Working with Children number, please go here for information on how to obtain one:

https://www.balmainfootball.com.au/registration-2/.

Your registration as a GL or Mentor cannot be progressed or approved until a valid WWC number is supplied and validated.
WWC Number:
WWC Expiry Date:
I understand that a position as a Game Leader or Mentor can only be attained after completing all the course and eligibility requirements, and only after being approved by BDFC and/or CDSFA. *

I understand
I understand that only Game Leaders aged under 18 will receive payment. *

I understand
Should be Empty: