WFA Referee Training - Watford (14th & 15th Feb 2015)

WFA Powerchair Football Referee Training

Date: Saturday, 14th & Sunday, 15th February 2015

Day 1: 10am - 5pm (Theory)
Day 2: 10am – 4pm (Practical)

Venue: Watford Leisure Centre, Horseshoe Lane, Watford. WD25 7HH.

Cost: £100 per person

The fee includes your place on the course, and a resource pack.

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

The WFA will need to have received 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
National Development Manager
T: 07885 408440
E: sam.bull@thewfa.org.uk

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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:

Address 1:

Address 2:

Town:

County:

Postcode

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* 6. Date of Birth

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* 7. FA Number (if applicable)

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* 8. Current Refereeing Qualifications and Football experience:

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* 9. Do you have any additional requirements for the course?

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* 10. Are you willing to officiate at any of the following:

National League (Nottingham)

WFA Cup

Regional events

"Local" / Club matches

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* 11. Emergency Contact Name:

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* 12. Emergency Contact Number:

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

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

Cash

Cheque (Made payable to "The WFA")

BACS

Other (please specify)

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

Yes

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* 16. Do you wish to be contacted by the WFA regarding further developments and updates?

Yes

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 9:45am to ensure we can start at 10am.

If you have any questions or queries, please contact
Sam Bull
National Development Manager
T: 07885 408440
E: sam.bull@thewfa.org.uk