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Port Hunter Basketball Club - Coaches Nomination Form
All Coaches will need a WWC check.
https://www.service.nsw.gov.au/transaction/apply-working-children-check
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
`Last Name
*
Your answer
Phone
*
Mobile
Your answer
Email Address
*
Your answer
Coaching Accreditation
*
Choose from list
Choose
Club Coach (Level 1)
Association Coach (Level 2)
Some Coaching
New to Basketball Coaching
Have you completed a Working With Children Check (WWCC)
*
Choose
Yes
No
Awaiting reply
Are you currently Registered with BNSW as a "Player" or "Other" ie a Coach
Yes
No
Clear selection
WWCC Number
Your answer
WWCC Expiry Date
MM
/
DD
/
YYYY
What Age group or Team would you like to Coach. ie U12 Boys
*
Your answer
What time would you like to train at the YWCA on Thursdays.
*
Your answer
What day/time would you like to train at Genisis (Howzat).
*
Your answer
Do you need a Port Hunter Polo Shirt
XS
S
M
L
XL
XXL
Do you have any suggestions for other venues? Give details.
Your answer
Send me a copy of my responses.
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