(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.

(or School / Organisation if more applicable)
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First Name
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Date of Birth
Email Address
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Contact Mobile Phone Number
e.g. +44 7123 456 789
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Please tick all of the following coaching qualifications that you have completed
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
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If applicable, please provide a little information on any past coaching experience
Please note - this may include other sports
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Home Address
e.g. 1 Cricket Lane, Cricketville, Co. Cricket
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e.g. CR1 K3T
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Have you completed any of the following in the last 3 years?
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