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2024 PHI Junior Rep Indoor Coach Nomination
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PHI 2024 Junior Indoor Representative Coaching Nomination
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Details
Mon 26 Aug 2024 09:00 — Sun 08 Sep 2024 19:00
Parkes Hockey Complex, Baker St, Parkes, Nsw, 2870
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Are you attending this event?
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Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Please nominate which Junior Indoor Team you would prefer to coach for PHI?*
U18 Boys 15-17 Nov @ Goulburn
U18 Girls 22-24 Nov @ Goulburn
U16 Boys 29 nov-1 dec @ Orange
U16 Girls 30 nov-2 Dec @ Orange
U14 Girls 14-16 Dec @ Central Orange
U14 Boys 13-15 Dec @ Orange
Please nominate which other Indoor Team you would like to Coach for PHI if you are not appointed to your first choice?
U18 Boys 15-17 Nov @ Goulburn
U18 Girls 22-24 Nov @ Goulburn
U16 Boys 29 nov-1 dec @ Orange
U16 Girls 30 nov-2 Dec @ Orange
U14 Girls 14-16 Dec @ Central Orange
U14 Boys 13-15 Dec @ Orange
Have you previously coached a PHI Representative Team either Field or Indoor?*
Yes
No
If yes to coaching a previous PHI Representative Team, please advise what team?
Max. 255 characters
Current Coaching Accreditation (if any).
Do you have a current Working With Children Check (WWCC)? email address*
Yes
No
If yes to WWCC, please provide your WWCC number?
Please provide your Date of Birth to verify your WWCC.
Please provide a brief coaching or playing history.*
Max. 255 characters
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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