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Coach Education course booking form

 

Please use the following booking form to request a place at one of our courses.  The course tutor will then contact to discuss matters further.

If you intend to book on a course in Leeds, you will need to book directly with Carnegie Coach Education.

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* Required information.
Which course are you interested in? * Please select the Coach Education course you wish to book.
Title *
Mr
Ms
Mrs
Miss
First name *
Last name *
Date of birth * This is required for insurance reasons and also to give us advance information if the course contains young people.
Organisation name
School Games Area / SSP Please enter your SGA / SSP below.  If this is not applicable this field can be left blank.
Address line 1 *
Address line 2
Town / City *
County *
Post code *
Email address *
Mobile phone *
Home / Work phone
Emergency contact's name * Our Coach Education courses involve a reasonable amount of physical activity.  In the extremely unlikely event of an emergency, we need to know who to contact.
Emergency contact's telephone number * This is the telephone number for your emergency contact.
How do you wish to pay? * Please let us know how you wish to pay for the course. We'll then be in touch with payment instructions.  We need payment in advance of the course day itself.
Any extra comments Need to tell us anything else?  Let us know here...

We're running the following Level 1 coach education courses this academic year:


FEB
25

25.02.2012 10:00 - 13:30
Level 1 Coach Education Course, SportBrighton, Eastbourne

APR
07

07.04.2012 10:00 - 13:30
Level 1 Coach Education Course, Bath

APR
29

29.04.2012 10:00 - 14:00
Level 1 Coach Education Course, Chichester

MAY
19

19.05.2012 13:30 - 17:00
Level 1 Coach Education Course, Bedford


Use the booking form link on the left menu to book your place on the course!

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