STATE TEAMS - 2022 Field Officials Information Survey

Full Name*

Email Address*

Contact Number*

Delivery Address*

Please select your team.*

What is your role?

Please enter your Working With Children Check number.*

Date of Birth.*

For the purpose of claiming mileage what is the suburb/postcode that you will be travelling from?*

Do you require flights and/or accommodation for training's?*

Please enter your bank details for your meal allowance. (Account Name - Account Number - BSB Number)*

Dress Polo*

Men's = S, M etc - Women's = 8, 10 etc

Dress Shorts*

Men's = S, M etc - Women's = 8, 10 etc - For Women's sizing i'd suggest a few sizes up OR even ordering Men's sizing

Hoodie*

Unisex Sizes

Skinny Track Pants*

Men's = S, M etc - Women's = 8, 10 etc. For Women's sizing i'd suggest a few sizes up OR even ordering Men's sizing

Please upload your Physio Malpractice Insurance. (PHYSIO'S ONLY)

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