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?
*
U6 - Mixed
U7 - Mixed
U8 - Mixed
U9 - Mixed
U9 - Girls
U10 - Mixed
U11 - Mixed
U11 - Girls
U12 - Boys
U12 - Girls
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?
*
U6-7s
U8-12s
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
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