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Super League Grand Final 2016

Name of club*

Contact Name*

Contact Number*

Email Address*

Club Website*

My club has safe playing and training areas*


My club completes annual risk assessments and has an established accident reporting process (see “Supporting Documents” for templates)*


My club has access to clean, dry changing rooms, washing facilities and toilets with hot and cold water*


My club has access to facilities for the provision of post-match refreshments*


My club collates contact data for parents/carers, emergency contacts and medical info*


My club has a qualified first aider for each team*


All Level 1 Coaches operating at U7 to U11 are supervised by a Level 2 Qualified Coach*



all fields marked * are compulsory.