ETA Coaching Course Registration
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First Name *
Last Name: *
Date of Birth *
MM
/
DD
/
YYYY
Contact email address *
Contact Number *
Which club are you affiliated with? *
Are you an O2 Touch Club? *
Role at your club? *
E.g. Player, Coach, President etc
Required
Do you have any current (or previous injuries) that would prevent you from full participation in the course? *
If YES, please provide details
Which course would you like to attend? *
Required
Submit
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