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Which role would you like to apply for:
Head Coach
Assistant Coach
Team Manager
Assistant Team Manager
Team Umpire
Name:
Email:
Contact Number:
Home Region:
North
North-West
East
South
What is your current level of relevant accreditation, and what is the expiry date?
Please list all relevant coaching (and/or team manager) positions held in 2024:
Do you have a Working with Vulnerable People Card?
Yes
No
Application in progress
If yes, please provide your Working with Vulnerable People Card number & Expiry Date
Do you have your Driver's License?
Yes
No
Do you have your First Aid Certificate?
Yes
No
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