Course Details

Start Date	9 April 2021
End Date	11 April 2021
Price AUD	$900

Course fees include all accommodation, food and course material for the duration of the course.

Fee-free payment plans are also available on all Course Fee payments. Please indicate in the 'Invoice address' box at the end of the Booking Form if you would like to discuss payment options with an IRAA Staff Member.

Costs of travelling to the course facility are not included.

Click here for more information about this course.

Application Form

Player Details Player First Name*

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Player Last Name*

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Player Email*

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Player Mobile*

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Date of Birth*

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Gender* Male Female Address*

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City*

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Country*

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Weight (kg):*

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Height (cm):*

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Preferred Position*

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Second Position Option*

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Rugby History*

Please enter details about your personal rugby history, teams you played for, or teams you coached, and any other relevant achievements. (maximum 1,000 characters).

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Affiliated Club / School / Union*

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Parent/Guardian Details First Name*

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Last Name*

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Parent/Guardian Mobile*

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Parent/Guardian Email*

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Character Reference Details First Name*

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Last Name*

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Character Reference Mobile*

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Character Reference Email*

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Payment Details First Name Last Name Organisation Email Phone Invoice address

Application Details How did you hear about this course? Enter the letters and numbers that you see into the field below*

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