Expression of Interest Coaching 2026

Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Currently Coaching

BoysGirls
Current Club
Current Team & Division
What is your Coaching Philosophy?
Coaching Qualification/s
Previous Club / Experience
Preferred Coaching Age Group 2025 (Boys/Girls)

Auskick Play (under 6’s)U8.5 BoysU8.5 GirlsU9.5 BoysU9.5 GirlsU10.5 BoysU11.5 BoysU11.5 GirlsU13.5 BoysU13.5 GirlsU15.5 BoysU15.5 GirlsU17.5 BoysU17.5 Girls
Do you have or are you willing to obtain a Blue Card?

YesNo
I am willing to complete online courses in a timely manner in order to become an accredited coach? *Coaching Accreditation opens January 1. We will require your coaching accreditation to be in place prior to any training gear being handed out.

YesNo
I am willing to attend physical or online coaching training sessions & meetings either at Palmy or elsewhere*

YesNo
Should be Empty: