GO COACH Request Form
Email *
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1. Name (Person in-charge/parent)
2. Phone Number
3.1 Player Name (player 1)
Full Name (Certificate Purposes) . i.e. M Rahman bin Rosli
3.1 Age (player 1)
4 years old
3.2 Player Name (player 2) - if any
Full Name (Certificate Purposes) . i.e. M Rahman bin Rosli
3.2 Age (player 2)
4 years old
4. Sports Name (Sports name specific .i.e. Futsal, Badminton etc.)
5. Day
Based on preference. Saturday, etc.
6. Time
Based on preference. 8.00 am - 9.00 am
7. Start Date
i.e. : First week of September 2019. etc.or any specific date (if any)
8. Preferred Location (Area : Setiawangsa, etc.)
If possible to include house number, house address
9. Type of Coach
Each of category below can be shared up to two (2) players. Click here to view the definition of coach level https://gocoach.my/pages/product
10. 1 Type of Coach (Additional Player) - if any
please put remarks if additional players RM20, RM25 (based on the discussion) with GO COACH TEAM
11. Sports Target
12. Additional Special Request (please state below)
13. Go Coach Lifestyle Planner Code
Applicable for Certified Go Coach Lifestyle Planner Code (i.e. GOLIFE/B1JAN21/02) ONLY.
14. Term & Conditions
I will make payment to Acc. no.: 8603645487 / Bank : CIMB Account / Name : GO COACH GLOBAL SDN. BHD.
A copy of your responses will be emailed to the address you provided.
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