AWFA Form 08 Non-Accredited Coach Registration

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Name*
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Please select below
I am or I am not currently registered with another club or association (Please tick appropriate box)*
I am or I am not currently disqualified or suspended (Please tick appropriate box)*
Training Course*
I am willing to be enrolled in the next available Australian National Coaching Scheme conducted by Albury Wodonga Football Association and realise that I or my Club will be charged the appropriate fee for my participation in this course. If I DO NOT participate in this course, I realise that I will be ineligible for re-registration as a COACH for future seasons until I participate in a National Coaching Course. Note: You are required to complete NSW working with children volunteer declaration. (https://www.service.nsw.gov.au/transaction/apply-working-children-check) or Working with Children Check (Victoria) (http://www.workingwithchildren.vic.gov.au/). This information needs to be provided and held by your Club. You are required to register as a non-player coach in the FFA Online Registration System.

DECLARATION

I hereby consent to participate under the jurisdiction of Albury Wodonga Football Association Inc as a NONACCREDITED COACH and pledge to observe all the rules and regulations of Albury Wodonga Football Association and Football NSW Ltd or Football Victoria Ltd. I have read and agree to abide by the “FFA Codes of Behaviour” as provided to me. I acknowledge that I accept the facilities (which includes change rooms and other relevant facilities) at any ground at which a match is played in the condition “as is” and releases and indemnifies Albury Wodonga Football Association in respect of any liability whatsoever arising out of the nature or condition of those facilities. I accept that soccer is a recreational activity that involves a significant risk of physical harm and I as the non-accredited coach/non-accredited coach’s parent accept that you have warned me of the risk of injury. I herby declare that all the information submitted on this form is true and correct.
Club President*
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