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* 1. First Name

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* 2. Surname

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* 3. Please provide contact information 

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* 4. What is your role?

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* 5. Do you currently coach/manage a team? (If so, please provide which age group/school or club)

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* 6. Which dates will you be attending?

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* 7. How did you hear about the Coaching Her Way Series?

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