Coaches Level 1 Course

Coaches Level 1 Course Registration

Course Details:

March 2 & 3 2024

Venue - TBC

First Name *

Last Name *

ACF Cadet Coaching Membership number *

Date of Birth *

Day

Month

Year

Address *

Phone Number *

Email *

What venue do you use to train? *

What Day do you coach? *

Overseeing Level 1 Coach name *

Overseeing Coach contact number *

Overseeing Coach email *

First Aid Certificate or Confirmation of booking *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Grade 2 (or higher) Skills Certificate *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Payment *

By me: (receipt emailed to act.coach.rego@gmail.com or scan/photo attached)

By my club

Registration fees ($175) can be paid via direct deposit to:

Account Name: Calisthenics ACT Inc.
BSB:                    012 950
Bank:                  ANZ
Account:             202 328 266

Club treasurer name *

Club treasurer email *

Virtual Signature *

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