TENPIN BOWLING AUSTRALIA LIMITED

National Coaching & Officiating Program

Team Manager Reaccreditation

ApplicationForm

ABN 72 085 023 721

TBA Accreditation No
Given Names
Surname
Street Address
Suburb
State
Postcode
Email Address
Date of Birth
Telephone
TBA Membership No

TBA Privacy Policy

Information on this form is entered on a database of registered coaches maintained by Tenpin Bowling Australia (TBA) Limited. Your name will also be published on the TBA website and entered into the Australian Sports Commission’s Sports Administration Online Database. Database information may be passed on to relevant State and National Sporting Organisations and State Education providers, which may be contacted by the Australian Sports Commission and/or TBA. Your information will not be disclosed except in accordance with the provisions of the Privacy Act 1998.

CertificationPeriod

TBA Team Manager registration is valid for two (2) years.
Team Manager registrations periods are from 1st July through to 30th June.

Fees:

New Team ManagerAccreditation $30

Renewing Team ManagerAccreditation $30

Signed:______

Date:

The following documents must accompany this registration form
Copy of State Working with Children Check
Signed Coach/Offices Code of Ethics (form included below)
Signed Child Protection Declaration (form included below)
2 Photos or quality jpg images on disc or by email
ASADA Online
Current First Aid/CPR Certificate

Payment Options

Direct Debit

Account Name / Tenpin Bowling Australia Limited
BSB / 032-195
Account Number / 128392
Reference / Surname Team Manager

Cheques/Money Order

Payable to Tenpin Bowling Australia Ltd

Credit Card

Please debit the amount of / $
Card type
Card Number
Cardholder Name
Expiry Date
Cardholder Signature
Transaction Date

TENPIN BOWLING AUSTRALIA LIMITED

National Coaching & Officiating Program

Coach/Official Code of EthicsIndividual Agreement Form

For accreditation or re-accreditation to the National Coaching Accreditation Scheme (NCAS)/National Officiating Accreditation Scheme (NOAS)

To: Tenpin Bowling Australia Limited

Iam seeking accreditation/re-accreditation (please circle) for the following Australian Sports Commission (ASC) qualification:

Team Manager Tenpin Bowling

Agreement

  1. I agree to abide by the Tenpin Bowling Australia Limited Code of Ethics for Coaches.
  2. I acknowledge that Tenpin Bowling Australia may take action against me if I breach the Code of Ethics.
  3. I understand Tenpin Bowling Australia is required to implement a complaint handling procedure in accordance with the principles of Natural Justice, in the event an allegation made against me.
  4. I acknowledge that disciplinary action against me may include de-registration from the NCAS and Tenpin Bowling Australia Limited.

Please refer to the Harassment-free Sport Guidelines available from the Australian Sports Commission or contact Tenpin Bowling Australia Limited if you require more information on harassment issues.

Signature / Date

If the applicant is under the age of 18 Parent/Guardian to complete next section

Signature / Date

The Tenpin Bowling Australia Limited Code of Ethics can be found on the TBA website –


TENPIN BOWLING AUSTRALIA LIMITED

National Coaching & Officiating Program

Personal Character Declarationfor Coaches and Officials

Child Protection

This declaration must be completed by all personnel who have juniors in their care when coaching or officiating.

Any person who does not sign the Declaration Form will not be registered as a TBA Coach or Official.

All coaches and officials who sign the declaration will be entered on the TBA database as part of TBA Risk Management Procedures. Coaches and officials who have already signed a declaration in their State of domicile and who have undergone a police check as part of their State Child Protection requirements are required to sign this form.

This declaration is to certify that:

  • the individual has not committed an offence involving sexual activity or acts of indecency which is or was punishable by penal servitude or imprisonment for 12 months or more in any State in Australia, or an offence committed elsewhere that would have been punishable by penal servitude or imprisonment for 12 months or more if it had been committed in Australia.
  • the individual is suitable by virtue of character and previous history to be entrusted with the care of young people participating in the sport of Tenpin Bowling.

Surname
Christian Name
State of Residence
Signature / Date

TBA Team Manager Application Form V1.2.docx