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Table Official and Referee course request
**PLEASE COMPLETE ONE FORM PER COURSE REQUESTED**

Course fees per person 2017-18
Level 1 TO course: £10; Level 2 TO Course £30; Level 1 Referee £75.
Make It Happen - £275 per course
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Requested Course: *
Full Name: *
E-mail Address: *
Number of Candidates: *
Course Organiser only. (If individual requesting course please leave blank)
Preferred Date of Course:
MM
/
DD
/
YYYY
Place of Course: *
City/Town and venue
Additional Information:
Please list any practical events (RDL's, school games etc) that you might want to run the course alongside.
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