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Primary Coaches CPD Evening
*
1.
Name
(Required.)
*
2.
Email address
(Required.)
*
3.
Club
(Required.)
*
4.
Age group
(Required.)
Under 6
Under 7
Under 8
Under 9
Under 10
Under 11
*
5.
Do you give permission to have your photo taken or video shot?
(Required.)
Yes
No
*
6.
Do you give permission for the images/video to be published on social media?
(Required.)
Yes
No
7.
We will use the information you provide on this form to be in touch with you and provide updates and marketing. Please confirm if you would like us to contact you
Yes
No
8.
If yes, please confirm how you would like us to contact you (please tick as many boxes as required)
Email
Telephone
Mail
N/A
