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2013 Australian Youth Olympic Festival - Coach Nomination Form

Nominations close 5.00pm Friday 23 November 2012

First Name:*
Surname:*
Full Address:*
Suburb:*
Postcode:*
Mobile:*
Email:*
DOB:*
Club/School:*
Crew (Who are you currently coaching)
Clothing Size:* (Polo Shirt, Shorts)
Coaching experience and Performance*:
Highest Level of Representation
Nominating As:* Women's Lead Coach
Men's Lead Coach
Assistant Coach (W)
Assistant Coach (M)
Intern Coach
Medical Condition or Dietary Allergy:*
Who is submitting this online nomination? (Name)
Emergency Contact Person:*
Emergency Contact Relationship:*
Emergency Contact Mobile:*
Please note that coaches are fully subsidised by Rowing New South Wales.  

I (or the person nominated) declare that the information
stated in this form is true and agree to abide by all
relevant RNSW Policies & Rules and am not aware of any commitments that will limit my participation in the selection trials, training camps or the 2013 Australian Youth Olympic Festival, and am able to fully participate in all requested activities listed in the key dates.

 Yes
No
 
 
  

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