International Team Future Camps WAG application form

TEAM FUTURE ADVANCED WAG APPLICATION FORM
Dates:             4 – 8 September 2016

Venue:            AIS in Canberra, ACT

Cost:               $700 - this includes all food and accommodation (travel to and from the venue is the responsibility of the individual)

There are 10 places available in this course. They will be filled in order of applications and payment received. (First in, first served).

Applications close on 31st July.
THIS COURSE IS FULL. THANK YOU FOR YOUR INTEREST.
STEP 1: APPLICANT DETAILS
Full Name*

First NameLast Name
Date of Birth*
DD/MM/YYYY
iMIS ID number*
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Phone*
Other Phone
Work Phone
Email Address*
Current Club*
Preferred method of contact (Mobile / Other phone / Email)*
STEP 2: COACH SPECIFIC INFORMATION
Which Gymsport are you coaching (WAG, MAG, RG, TRP / Other)*
If other, please specify.*
Are you a current Technical Member of GA?*
What accreditation do you hold?*
Do you have a current Working with Children Check?*
Have you attended Team Future training camps before?*
If yes, list what camps.
Are you currently working in a High Performance Centre or Program? *
If yes, list your Club or Program.*
What level of athlete are you currently coaching? Provide details.*
IMAGE CONSENT
Video and still photography will be taken throughout the Team Future camp and may be used in Gymnastics Australia's training resources for coaches, judges and in course promotion including on Gymnastics Australia's website and social media platforms.
I consent to taking part in the video and still photography that will occur during the course:
COURSE FEE
The course fee will be paid thorugh the Learning Management System (LMS). If you do not have an account please create one.

Your application will be evaluated and if you are accepted you will be sent an email instructing you to go onto the LMS to pay the course fee.
Application closing date is 31st July
THIS COURSE IS FULL. THANK YOU FOR YOUR INTEREST.
Should be Empty:

TEAM FUTURE ADVANCED WAG APPLICATION FORM

THIS COURSE IS FULL. THANK YOU FOR YOUR INTEREST.

STEP 1: APPLICANT DETAILS

STEP 2: COACH SPECIFIC INFORMATION

IMAGE CONSENT

COURSE FEE

Application closing date is 31st July

THIS COURSE IS FULL. THANK YOU FOR YOUR INTEREST.