Coach Registration Form
Name :	*
Email :	*
Telephone :	*
Fax :
Current Club:
Club Email:
Club Website:
Password :	*
Confirm Password :	*
Personal Details
Area of Expertise:	Administrator Backs Coach Coaching Director Defence Coach Fitness Trainer Forwards Coach Fundraiser Physiotherapist Speed Trainer Strength Trainer Team Coach Team Manager  *
Contract Sought: (absolute minimum requirements)
Salary (Euros per month):	Open to offers Under 1,000 Euro per month 1,000 to 2,000 Euro per month 2,000 to 4,000 Euro per month 4,000 to 8,000 Euro per month Over 8,000 Euro per month  *
Airfares:	Yes No  *
Accommodation:	Yes No  *
Motor Vehicle:	Yes No  *
Other:
Destination - First Preference:	Australia Canada France Italy Japan New Zealand South Africa United Kingdom United States Other  *
Destination - Second Preference:	Australia Canada France Italy Japan New Zealand South Africa United Kingdom United States Other  *
Current Contract:	No Yes
Expiry Date:	2007 2008 2009 2010 2011 2012 2013 2014 2015
Previous Experience:	Club team National Open team National "A" team Provincial team Other Representative team  *
Years of Experience:	1 year 2 years 3 - 5 years 5 - 10 years Over 10 years  *
Qualifications:	Other University Degree Rugby Qualification  *
Nationality:	Argentina Australia Canada Chile England Fiji France Ireland Italy Japan Namibia New Zealand Romania Samoa Scotland South Africa Spain Tonga United States Uruguay Wales  *
European Passport:	Ancestral Visa (UK) No European Passport Yes European Passport  *
Successful registration requires all fields with * next to them to be filled.