Manager Application - St Marys Junior Rugby League

All applications MUST be supported by a completed Working with Children Check.

Personal Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

Occupation(Required)

Contact Number(Required)

Email Address(Required)

Polo Shirt Size(Required)

St Marys Rugby League Club Membership Number(Required)

Club History

Are you a past/present member of St Marys Rugby League Club?(Required)

Please state number of year’s service with St Marys Rugby League Club:

Coaching(Required)

Playing(Required)

Other

Managers Qualifications

Do you hold a current Managers Accreditation?(Required)

If yes, what is your PDJRL Registration Number?

Have you completed a current Working with Children Check?(Required)

Working with Children Check Number

Working with Children Check Expiry Date

Team Nomination

Name the age team you would like to manage

Age(Required)

Division(Required)

Do you have a child playing in this team?(Required)

Managers Roles and Responsibilities I acknowledge that with my position as Team Manager I will be responsible for fulfilling the following commitments:

Attend all Managers Meetings.
Submit a game report for each and every game.
Arrange for your team to participate in all organised team & club fundraisers.
Record all team information in the Mangers Booklet provided.
If playing away, return a copy of sign-on sheet (pink), to St Marys Rugby League Reception before the close of business Sunday.

It is a requirement of undertaking the role that you are double vaccinated against COVID-19 or hold a Medical Contraindication. Proof will be requested.(Required)

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