WFA Coaching Powerchair Football Course

Date: Saturday, 31st January 2015
Time: 9:00am – 4:03pm
Venue: Wright Robinson College,
Abbey Hey Lane,
Gorton,
Manchester,
M18 8RL

Cost: £50 per person

To book your place on this course, please complete the Registration below.

The WFA will need to have recieved your payment prior to the course taking place.

Please post any cheques, made payable to “The WFA” to the following address:
The WFA, c/o Nottinghamshire Football Association.
Unit 6b Chetwynd Business Park,
Chilwell,
Nottingham.
NG9 6RZ

If you would like more information about the course or to discuss anything regarding Powerchair Football, please contact:

Sam Bull
WFA National Development Manager
Mobile: 07885 408440
Email: sam.bull@thewfa.org.uk
Twitter: @the_wfa

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* 1. Candidate Name:

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* 2. Club / Organisation Name:

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* 3. Email Address:

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* 4. Telephone Number:

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* 5. Address:

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* 6. Date of Birth

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* 7. Current Coaching Qualifications and Football experience:

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* 8. Do you have any special requirements on the day (please outline):

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* 9. Emergency Contact Name:

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* 10. Emergency Contact Number:

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* 11. Emergency Contact relationship (Father, Wife etc)

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* 12. I will pay for this course by the following method:

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* 13. Do you require an Invoice to be emailed to you?

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* 14. Do you wish to be contacted regarding further Coach development opportunities from the Wheelchair Football Association?

You will be sent an email a few days prior to the course to inform you of more information about the day, directions and what is expected from you on the day.

Please arrive at the centre at 9:15am to ensure we can start at 9:30am. The course will finish no later than 4:30pm.

If you have any questions or queries, please contact
Sam Bull
WFA National Development Manager
Mobile: 07885 408440
Email: sam.bull@thewfa.org.uk
Twitter: @the_wfa

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