1. Expression of Interest

Please complete the following to register your interest in completing a Level One coaching course, and to assist Triathlon Ireland with the planning and scheduling of courses.

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* 1. Name

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* 2. County

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* 3. Mobile Number

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* 4. Email Address:

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* 5. If you are a member of a club, please specify which one

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* 6. Please specify the location most convenient to you

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* 7. Courses are planned for two days over one weekend. Please specify the month in which you would like to complete the course.

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* 8. Please provide a brief summary of your coaching experience and qualifications:

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* 9. Please provide any additional comments or feedback you have for Triathlon Ireland regarding the roll out of Level One Coaching Courses in 2010:

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