School Ambassador Program Registration
Name
*
First Name
Last Name
School Email
*
example@example.com
Job Title
*
Classroom Teacher
Teacher Aid / Learning Support Officer
Administration
Assistant Principal
Deputy Principal
Sports Coordinator / Head of Sport
PDHPE Teacher
Principal
System Leader
Mobile Phone
*
Please enter a valid phone number.
School Name
*
State
NSW
VIC
SA
NT
WA
ACT
QLD
INTERNATIONAL
TAS
Cant find your school? Please enter the school name and suburb below.
School Name
Can't find school
What school level do you work with?
*
Primary
Secondary
Early Childhood
What tier are you applying for?
*
PRE SERVICE (University students)
BRONZE (All school staff)
SILVER (NRL Program Host, School Rugby League Coach)
GOLD (Competition convenor, League Stars Inspire & before/after school host, School Boy/Girl Cup Head Coach)
PRINCIPAL / SYSTEM LEADER
INTERNATIONAL
Tier Conversion
Pre Service
Bronze
Silver
Gold
Principal/System Leader
International
Shirt Size
*
Please Select
S
M
L
XL
2XL
3XL
4XL
NRL Account ID
Were you referred?
*
Yes
No
If Yes, who referred you?
Colleague
NRL Staff member
Other
Other Referrer - Please specify
Name of the person who referred you?
Calendar Year
SAP Status
Pack Type
Program Status
NRL School Ambassador communications
*
By registering to the NRL School Ambassador Program I opt in to receiving communications from the NRL about School and Community programs, competitions and events.
Local Club communications
By registering to the NRL School Ambassador Program I opt in to receiving communications from my local NRL club about School and Community programs, competitions and events.
Please verify that you are human
*
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