Coaching Clinic Application Form

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COACHING CLINIC
APPLICATION FOR APPROVAL
CLUB
ZONE
VENUE
CLINIC CONTACT
PHONE
MOBILE
EMAIL
CLUB OFFICIAL
SIGNATURE
CLINIC STARTS
CLINIC ENDS
TERMS AND CONDITIONS
A)
A register of Clinic participants, coaches and staff MUST be retained by the Club.
B)
All participants MUST be registered players of Northern NSW Football.
C)
NSW Child Protection requirements MUST be adhered to for all coaching clinics.
D)
Coaching Clinics are endorsed by Northern NSW Football on the basis that they are conducted as a
fundraising/promotional event and all monies raised are retained by the Club for future development purposes. Northern
NSW Football does not endorse private enterprise clinics.
E)
Failure to comply with the above will VOID endorsement of coaching Clinic and Insurance Cover and render
Club Administrator/s liable in the event of player injury or public liability claims.
I agree to the above Terms and Conditions.
FOR OFFICE USE ONLY
APPLICATION RECEIVED
FINAL APPROVAL GRANTED
SIGNATURE
DATE
SIGNATURE
DATE