Coach Info for TV Website

This survey is designed to gather key information around all accredited coaches currently holding a Professional Coach Triathlon Australia membership to be displayed in a coach listing section on the Triathlon Victoria website.

PLEASE NOTE: Coach Listings are only available for coaches who hold a 'Professional Coach' Triathlon Australia membership.

Question Title

* 1. Name:

Question Title

* 2. Location:

Question Title

* 3. Are you affiliated to a club? If so, who?

Question Title

* 4. Please include a short bio (50 words) about yourself and your coaching services:

Question Title

* 5. What groups do you predominately coach?

Beginners

Age Group

Elites

Juniors

Other (please specify)

Question Title

* 6. Contact Phone Number (if applicable)

Question Title

* 7. Contact email

Question Title

* 8. Website (if applicable)

Question Title

* 9. Please attach a high resolution image to accompany your listing that is 1920pixels x 1080pixels (or 16:9 aspect ratio)

Please ensure that the image is of a high resolution, and is of a size that is either 1920pixels by 1080pixels, or a 16:9 aspect ratio. This image can be your logo, or a photo of yourself.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File