PLEASE NOTE: If your school has not already reserved a place for you to attend the coach accreditation course being held on 23rd 24th June in NSW, this course is now fully subscribed … we are however accepting registrations should a vacancy come-up, and will advise anyone who does register as soon as we have confirmation of an opening. Subject to expression of sufficient interest we will also consider arranging for another course.

Payment – If you do pay the course fee and a position does not come up, or a suitable alternative date is not available, then your payment will be refunded in full.

Payment details are below the form … (Due date for payment is not later than 5-weeks before the course date)

Accreditation Course Registration

COURSE DATE and ACCREDITATION LEVEL

Before registering please read the explanation and criteria under ‘ACCREDITATION’ for the appropriate accreditation level 1 or 2

YOUR DETAILS

YOUR MARTIAL ART AND GRADE

MEMBER / ASSOCIATE MEMBER SCHOOL DETAILS

– To attain accreditation you do need to be a member within either a Member or Associate Member School

Your schools ‘member’ number can be found on the ‘Find a School Page’ in the second column of the table located at the bottom of the page

CRITERIA FOR ACCREDITATION

Satisfactory completion of this course and post course activities, goes towards the requirement for Ccoach Accreditation levels 1 and 2. By completing this application you confirm your understanding of the criteria and if you attend the course agree to complete all requirements for accreditation. The course fee $295.00 includes coach’s folder, tea and coffee, (lunch is not included) and Accreditation on successful completion.

PRIVACY STATEMENT

Upon successful completion of accreditation, information on this form is entered onto the National Coaching Accreditation Scheme (NCAS) database of registered coaches maintained by the Australian Jujitsu Federation (AJF) as required by the Australian Sports Commission (ASC). Database information may be passed on to State Sport Education Centres and Names of accredited coaches may also be included on the AJF website. Coaches may be sent relevant up-to-date information and may be contacted by the AJF and the ASC. Your information will not be used or disclosed except in accordance with the provisions of the Privacy Act 1988.

1 + 2 = ?

IMPORTANT NOTE … if you hit submit however do not see a message “Your application to attend has been sent!” replacing the form, please check that you have not missed entering data in one of the required boxes

PAYMENT DETAILS – PLEASE PAY BY EFT OR DIRECT DEPOSIT

in submitting your payment of

$295.00

please ensure you include the payment reference:

STATE plus YOUR NAME

e.g.

NSW W Smith


Bank Account Details

Account Name: Coaching Accreditation

Suncorp BSB: 484 799

Account number: 079453636


… once your payment has been received your registration may then be confirmed.