Pine Rivers Bears Junior Rugby League Club 2027 Coaching Application
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a returning Bears Coach from 2026?
*
Yes
No
What age group would you like to Coach in 2027?
Under 14 Girls Head Coach
Under 15 Girls Assistant Coach
Open Women Community Head Coach
Open Women Community Assistant Coach
Other:
Do you have a Current Coaches Accreditation?
*
Yes
No
Willing to apply
Have you completed the face to face NRL accreditation within the last two years?
*
13 - 18’s
19+
No
Do hold a current QLD Blue Card?
*
Yes
No
Willing to apply
Blue Card Number
I understand that holding a valid Blue Card is a requirement of this role. If I do not currently hold a Blue Card, I will apply for one immediately. Should I be unable to obtain or maintain a Blue Card, I agree to relinquish my position to ensure full compliance with Blue Card regulations. I agree to uphold the National Rugby League Code of Conduct in all aspects of my role as a coach. I acknowledge the importance of maintaining the highest standards of integrity, respect, and sportsmanship, both on and off the field. To fulfil my responsibilities effectively, I will complete all required training sessions and courses necessary to become a qualified Bears Coach for the 2027 season. This includes remaining up to date with the latest coaching techniques, player safety protocols, and team management strategies to ensure I provide the best possible guidance and support to my players. I also note that this form is expression of interest only, and does not guarantee me the position.
*
I agree
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit
Submit
Should be Empty: