Are you attending this event?

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Position(s) Applying For (Multiple selections available*

Coach

Manager

Selector Chair

Selector

GK Selector

Contingent Leader

Coaching Coordinator

Statistician

Preferred Age Groups (Multiple selections available)

34

40

45

50

55

60

65

70

Experience* Max 255 characters

Qualifications* Max 255 characters

1st Referee Contact Details*

2nd Referee Contact Details*

# I am available to attend the State Championships (Selectors)

# I am available to attend the National Championships from Assembly to Completion

# I acknowledge that I have read and understood the following documents: HQ Women's Masters Handbooks (relevant for the selected role), Role descriptions, Selection policy and HQ/HA Code of Conduct and National Integrity Framework Policies.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

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