2024 Coach Expression of Interest Form
West Basketball Club ~ Newcastle
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Email *
First Name *
Surname *
Phone number *
Preferred Age Group(s) *
Required
Do you have a child or family member playing in your preferred choice(s)? *
If yes, please list their name(s):
Coaching Experience *
Do you have any coaching qualifications? Please detail below:
Do you have a Working with Children check? *
At this stage our training court allocation is Sunday afternoons at Broadmeadow Stadium, please indicate your preferences for training (multiple answers acceptable): *
Required
Additional Information 
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