PCA Level 1 Coach - Private coaching and clinics outside of rally/muster days

PCA Level 1 Coach - Private coaching and clinics outside of rally/muster days

This form is to register yourself, as a PCA Level 1 coach, who wishes to coach Pony Club members outside of rally/muster days.
All Level 1 Coaches must meet the current minimum prerequisites of:

1. Being a current Pony Club Financial Member.

2. Have a current Working with Children Check.

3. Have completed the ASC Coaching Essentials course.

4. Have completed the SIA Safeguarding Children and Youth in Sport course.

5. Have completed the National Integrity Framework course.

6. Have a current First Aid Certificate (HLTAID011).

7. Have completed the current PCA Gear Checker Accreditation.
I agree that I have all of the above prerequistes and that they are current and up to date.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your Pony Club member number?
Which Pony Club are you a member of?
What is your current coaching level?
Do you have a current Working with Children card?
Coaching status expiry date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of the last Pony Club coaching update:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Have you completed the ASC (Australian Sport Commission) Community Coaching Essential online course and have it uploaded to your JustGo profile? (Link - https://www.ausport.gov.au/coaching/community/education/community-coaching-essential-skills)
Have you completed the Safeguarding Children and Young People in Sport online course and have it uploaded to your JustGo profile? (Now available through your JustGo profile on the PCA Academy tile)
Have you completed the National Integrity Framework online course and have it uploaded to your JustGo profile? (Link https://elearning.sportintegrity.gov.au/user_login)
Have you completed the PCA Gear Checker accreditation? (Link - https://ponyclubaustralia.com.au/education-accreditation/officials/)
Do you have a current First Aid Certificate (HLTAID011)
What discipline/s do you plan to coach (tick all that apply)
Please list the address where you plan to coach outside of designated rally or muster days
Please indicate the frequency of coaching an financially up to date Pony Club riding member outside of usual PCA organised activities
Please indicate the number of Pony Club riding members you coach outside of normal PCA activities
I agree to adhere to the Pony Club Australia Coach Code of Conduct, safety procedures and national gear rules, when coaching Pony Club riders outside of rally and muster days.
Should be Empty: