Coach Attendance Form
At Swimming Metro North East run Meets
Coach Name
*
First Name
Last Name
Coach Date of Birth (required for WWCC verification)
*
/
Day
/
Month
Year
Date
Contact Number
*
Please enter a valid phone number.
SCTA (or similar) Membership Number
*
Swim Coaches & Teachers Australia Number
SCTA Expiry Date
*
-
Day
-
Month
Year
Date
If you don't have SCTA membership please type the name of the governing body you belong to (and place the number and expiry in the SCTA field) eg AUSTSWIM etc
Other Governing organisation you are accredited with
WWC Number
*
Working With Children Number (WWCxxxxxxxxE)
WWC Expiry Date
*
-
Day
-
Month
Year
Date
Meet Name (select all that apply)
*
SMNE Short Course Distance Meet 23 June 2024
SMNE Short Course Winter Championships 1-2 June 2024
SMNE Long Course Distance Meet 20 Oct 2024
SMNE Long Course Summer Champs November 2024
Coach's Club
*
Please Select
Abbotsleigh
Hunters Hill
Knox Pymble
Ku-ring-gai
Lane Cove
Manly
Mosman
Narrabeen
Ravenswood
Seahorses
Shore
Terrey Hills
Warringah
Wenona
Willoughby
Your Email (in case we have to contact you)
*
example@example.com
WWCC Verification
Cleared
Not Cleared
SCTA Verification
Accredited
Not Accredited
Verification Date
-
Day
-
Month
Year
Date
Record Attendance
Should be Empty: