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Sydney East Indoor Rep Junior Coaching Nominations 2025

2025 Indoor Junior Rep Season

Orange & Goulburn

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First name*

Last name*

Phone number*

Email address*

Address*

Please nominate which Indoor Team you would prefer to coach for SEHA?*

Please nominate which other Indoor Team you would like to coach for SEHA if you are not appointed to your first choice?

Have you previously coached a SEHA Rep Team either field or indoor?*

If Yes to coaching a previous SEHA Rep 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*

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.*