PLEASE SEND THIS APPLICATION FORM INTO YOUR
BRANCH RUGBY DEVELOPMENT OFFICE
(Please DO NOT submit any payment
until your place on the course is confirmed by official invitation)
IRFU National Coaching Courses 2016
Please tick the course you wish to apply for:
Stage 4 Rugby Head Coach Course
*Weekend 1: Friday 12th August – Sunday 14th August
*Weekend 2: Friday 19th August – Sunday 21st August
*(Coaches must fully attend both weekends)
Cost €320 / £255: includes all meals, refreshments, resources and facilities
Stage 4 Rugby Assistant Coach Course
Saturday 27th August & Sunday 28th August
Cost €150 / £120 - includes all meals, refreshments, resources and facilities.
Further information at
http://www.irishrugby.ie/playingthegame/coaching/application_form.php
Coach Details
Name:
Date of Birth:
Club or School:
Home Address:
Email address:
Home Phone:
Mobile Phone:
Coaching Details
Team 2016-17:
_Head coach / Assistant coach (please circle)
Team 2015-16:
______ Head coach / Assistant coach (please circle)
Team 2014-15:
Head coach / Assistant coach (please circle)