Become A Coach
Off-Ice Skate Excellence Coach Education Programme
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Full Name *
Highest Skating Level *
Date Of Birth *
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What rink are you currently skating at?
Full Address *
Post Code *
Are you aware of any reason that could prevent you from exercising without medical supervision?                If yes, please provide details.
Primary Phone Number *
E-mail Address *
Emergency Contact *
Emergency Contact Number *
Preferred Course Day *
Preferred Course Time *
Time
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Payment Bank Transfer Details
Account Name - KCO Inline Ice Skating Limited
Reference - Become A Coach
Sort Code: 40-51-62
Account Number: 79599554
Participation in Skating Programmes carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.                                                                      As we may need to communicate with you regarding changes to courses, to offer you the opportunity to book for other courses or contract someone on your behalf in the case of an emergency we will need to store the information provided however it will only be used for the purposes outlined.
In the future we may wish to send you information such as information on further training course, master classes etc.  Would you like to receive this information? *
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