2024 State Coach & Manager Nominations
Name
*
First Name
Last Name
Club
*
Please Select
Australian Institute of Judo
Broome Judo Club
Carnarvon Judo Club
Dragon Judo Perth
Elite Judo Club
Geraldton Judo Club
Gosnells PCYC Judo Club
Harvey Judo Club
Judo International
Judo Ryu Western Australia
Kano Judo Schools
Kumataka Dojos Bayswater
Lakay Judo Club
Muchea Judo Club
RS Judo Club
Sang Rok Hedland
Santos Judo Academy
Scotch College Judo Club
SouthWest Judo Academy
The Arena MMA Judo Club
University of Western Australia Judo Club
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a valid working with children check card?
*
Yes
No, but I will obtain one prior to commencing the position.
What is your Working with Children Card Number?
Which position would you like to nominate yourself for?
*
State Coach
Assistant State Coach
State Manager
Assistant State Manager
Personal Coach (Accreditation Only)
Please elaborate on how you would be a good fit for this role?
*
Submit
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