Kickstart 1 - Registration form
This form needs to be completed by Thursday 11th May. The parental consent forms need to be handed in also. Certification will not be ready otherwise
Surname
Your answer
First name
Your answer
Title
Date of birth
MM
/
DD
/
YYYY
Place of birth
Your answer
School
Address - house name/ street number
Your answer
Address - Village/Town
Your answer
Address - County
Your answer
Address - Country
Your answer
Postcode
Your answer
Student email
Your answer
Parent email
Your answer
Preferred method of communication
Home telephone
Your answer
Parent mobile
Your answer
Are you a member of a Soccer club
If yes, please state.
Your answer
Have you been involved in assisting with the coaching of soccer teams?
If yes, please describe.
Your answer
Submit
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