2025 Coach Expression of Interest Form

PLEASE NOTE THE COACHES EXPRESSION OF INTEREST IS FOR MALE TEAMS ONLY.
Coaches Name*

First NameLast Name
Mobile Number *
E-mail*
Date of Birth*

DayMonthYear
D.O.B
Current Coaching Qualifications*
Preferred Age Group*
Secondary Preference*
Club in 2024*
Age Group Coached in 2024*
Club in 2023*
Age Group Coached in 2023*
Address*
Videos or Session Plans Highlights

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Cancelof
I, approve of this application and in doing so agree that the APIA Leichhardt FC and its officers and servants are free to collect this information and clear of all responsibility whatsoever in the above mentioned activity for any loss, injury or illness during the applicant’s participation in this activity.
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