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Details

Development Lead Coach Course

Wed 16 Oct 2024 18:00 — 21:00

Perth Hockey Stadium, Perth Hockey Stadium, Hayman Road, Bentley, 6102

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

First Name*

Surname*

Email Address*

Best Contact Number*

Current Coaching Role*

Juniors

Seniors

State Team

Current Level of Accreditation*

New Foundation Lead Coach

Past Accreditation Level

Both

Current Club*

Coaching aspiration

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*