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First name

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Address

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Mobile phone

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General

Date of birth

Day Month Year

Gender

AFL team you support

How many matches of the 2019 AFL Home and Away Premiership season did you attend live in person?

Either parent from Aboriginal and/or Torres Strait Islander Origin

Were any of your parents born overseas?

Country of Birth

Country of Birth (Mother)

Country of Birth (Father)

Have you been convicted of or are you currently charged with a criminal offence?

Communication Preferences

I would like to receive the monthly CoachAFL Newsletter

I would like to receive communications and special offers from Australian Football Bodies and on behalf of selected partners

Coaching Interests

Team age (or closest to) that you are most interested in coaching?

Coaching

Number of teams I'm coaching in 2020

Coaching Role 1

I'm currently coach at a...

Coaching Role

State

League/Region

Club

State

School

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Team age

Team gender

Coaching Role 2

I'm currently coach at a...

Coaching Role

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League/Region

Club

State

School

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Team age

Team gender

Coaching Role 3

I'm currently coach at a...

Coaching Role

State

League/Region

Club

State

School

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Team age

Team gender