(NCU Area - Wallace High School) Cricket Ireland Welcome to Coaching Course Application Form
Details of the course are as follows::

Sunday 23rd April - 930am to 430pm - Wallace High School, Lisburn

Cost: Free for all participants. The costs for this course are kindly subsidised by the Sport NI Active Clubs Programme. Please contact Simon Johnston on simon.johnston@cricketireland.ie for further information on Active Clubs.

Equipment required: Sportswear and trainers as (injury / health permitting) you’ll be taking part in cricket drills, games and exercises. Bring a pen and a notepad as well if you would like to take down some notes on the day.

Lunch: Lunch is not provided so please bring your own food for the day.

Club *
(or School / Organisation if more applicable)
Your answer
First Name *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Contact Mobile Phone Number *
e.g. +44 7123 456 789
Your answer
Please tick all of the following coaching qualifications that you have completed *
Required
Please state what age groups you currently work with or what your role you have within your club (e.g. Under 11 Coach) *
or state N/A if new to coaching
Your answer
If applicable, please provide a little information on any past coaching experience *
Please note - this may include other sports
Your answer
Home Address *
e.g. 1 Cricket Lane, Cricketville, Co. Cricket
Your answer
Postcode *
e.g. CR1 K3T
Your answer
Have you completed any of the following in the last 3 years? *
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