Casual Coach Registration Form

Your Details

*First Name:

*Last Name:

*Date of Birth:

*Gender:

Male Female Other

Contact Details

*Email Address:

*Confirm Email:

*Phone Number

Mobile Number:

Address

*Address Line One:

Address Line Two:

*Town/City:

County:

*Post Code:

*Country:

Event Questions

* What is your current level of license?:

If other, please detail.:

* Coach license number and expiry date:

* Have you attended a Safeguarding course through Athletics NI in the past 3 years?:

* Have you attended a first aid course in the past 3 years?:

Have you attended a 365 course?:

Have you attended disability awareness training?:

Are you currently in an affiliated Athletics Club?:

If yes, which club?:

Coaching Experience

* Please detail your coaching experience and if possible describe the level you have coached::

* Where have you coached at this level?:

For more details on the Coaching Levels (Fundamentals/Foundation/Event Group/Event Specialist/Performance) please see the Athlete Development Pathway here: https://athleticsni.org/Athletes/Athlete-Development-Pathway

Please describe your Coaching Philosophy, if possible::

Your availability

Please tick the times of day that you are generally available:

Weekdays 9am-5pm:

Weekday Evenings 6pm onwards:

School holidays 9am-5pm:

Weekends 9am-1pm:

Weekends 1-5pm:

Please confirm if you are happy for your details to be passed on to other Affiliated Clubs or Organisations looking for coaches with your qualifications?:

Register

Your Details

Contact Details

Address

Event Questions

Coaching Experience

Your availability

Submit Entry

Casual Coach Registration Form

Register

Your Details

Contact Details

Address

Event Questions

Coaching Experience

Your availability

Submit Entry

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