Coach Registration/Renewal Form

Fill in your details below to register as an RDA coach or renew your membership. You will be charged a fee of $25.00AUD.

You can also download the printable form here and post your form with payment to RDA Australia – PO Box 310, Torrensville, SA, 5031.
 
The session on insurance at the National Coaches Workshop raised some questions about paid coaches in RDA and whether their coverage is under the employer's workcover insurance, or RDA's insurance policies.  We have been collecting information through Coach Registrations and, following a meeting with our insurance brokers this week, have some updated information for you.

Your details

:
Date of birth:
Do you identify as having a disability?

Senior First Aid Certificate Date:
I have a:



Certificate Number:
Are you paid for coaching at RDA?

Your Current Coaching Qualifications

Level(s) of qualification:
Approx. coaching hours per year:
RDA Centre(s) coaching took place:

Workshops attended in 2019




Other RDAA Approved Activities (refer to the NCAS RDAA Updating Policy)




Other information

I am continuing as a Member of an affiliated RDA Centre in 2020 and have met my compulsory coaching activity for 2019 and wish to be re-registered as an RDAA Coach for 2020
Authorised Reference:
Name:
Position:
Contact phone or email:
I wish to take leave from coaching in 2020 and will not be able to meet the minimum coaching requirements. I understand that if I do not complete the compulsory activities within two years that I need to update my coaching qualification as per the NCAS Updating Policy.
I wish to cease coaching with RDA until further notice.

Payment Details