Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

First Name

Last Name

1st Choice *

My preference would be for the following age groups, but understand that the Kingston Blues Committee will determine final coaching positions:

Under 9s

11u

13u

15u

17u

17u Boys

21u

Grade

Premier League

2nd Choice *

Under 9s

11u

13u

15u

17u

17u Boys

21u

Grade

Premier League

Working with Vulnerable People *

I understand that I will need to obtain a Working with Vulnerable People registration before I can commence coaching (the Club will reimburse you for the costs)

Yes

Acknowledgement *

I understand that by accepting a coaching position with the Kingston Blues Netball Club I agree to abide by all points of the KBNC By Laws and the Code of Ethics as set out by Netball Tasmania.

Yes