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* 1. Name (as appears on Coach.AFL)

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* 2. Email

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* 3. Phone Number

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* 4. Club Coaching or Club Associated with

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* 5. Age group you will be coaching in 2019?

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* 6. Coaching Experience

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* 7. When did you complete your level 1 (Foundation) accreditation?

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* 8. Why do you want to participate in the Level 2 Coaching Course?

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* 9. What would you like to get out of the Level 2 Coaching Course?

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* 10. Are there any particular topics you would like covered in the course?

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* 11. Any other comments

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