Coach Listing Request Form

This form is for Pony Club Victoria 2024 Coach Members who have a coaching qualification and would like to have their details made public on the PCV website club search listing.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Mobile Number

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* 5. Working With Children's Card Number (or equivalent)

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* 6. In a few sentences, please tell us what you believe your 'Child Safe' responsibilities as a coach, may include.

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* 7. Coaching Zones - select all that you would be willing to travel to

East Gippsland

West Gippsland

Southern Metro

Northern Metro

Barwon

Central

Wannon

Midland

North East

Northern

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* 8. Coaching Qualifications

PCA Level 1

PCA Preliminary

PCA Foundation

EA Level 2

EA Level 1

EA Introductory

ESI Diploma (Equitation Science)

British Horse Society

Other (please specify)

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* 9. Preferred Disciplines - select all that apply

Dressage

Show Jumping

Cross Country

Mounted Games

Polocrosse

Horse Archery (must be a PCA approved Horse Archery Coach)

Tetrathlon

Musical & Pairs Rides

Vaulting

Ride To Time

Poles

Working Equitation

Equitation Science Groundwork & theory

PCA Higher Certificates Level C*/K, B & A

PCA Certificate C - E level

Jumping Equitation

Quiz

Other (please specify)

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* 10. Please download your qualifications as verification if you have a qualification with EA, BHS, ESI etc. We will not be able to list your non-PCA qualifications on our website without evidence of achievement.

Coach Listing Request Form

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email

Question Title

* 4. Mobile Number

Question Title

* 5. Working With Children's Card Number (or equivalent)

Question Title

* 6. In a few sentences, please tell us what you believe your 'Child Safe' responsibilities as a coach, may include.

Question Title

* 7. Coaching Zones - select all that you would be willing to travel to

Question Title

* 8. Coaching Qualifications

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* 9. Preferred Disciplines - select all that apply

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* 10. Please download your qualifications as verification if you have a qualification with EA, BHS, ESI etc. We will not be able to list your non-PCA qualifications on our website without evidence of achievement.

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* 11. Please download your Sport Australia Safeguarding Children and Young People certificate. If this is in your JustGo, skip this step.

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* 12. Please download your Sport Australia Essential Skills Online course certificate. If this is in your JustGo profile, skip this step.