GO COACH Request Form
Email address *
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1. Name (Person in-charge/parent)
Your answer
2. Phone Number
Your answer
3.1 Player Name (player 1)
Full Name (Certificate Purposes) . i.e. M Rahman bin Rosli
Your answer
3.1 Age (player 1)
4 years old
Your answer
3.2 Player Name (player 2) - if any
Full Name (Certificate Purposes) . i.e. M Rahman bin Rosli
Your answer
3.2 Age (player 2)
4 years old
Your answer
4. Sports Name (Sports name specific .i.e. Futsal, Badminton etc.)
Your answer
5. Day
Based on preference. Saturday, etc.
Your answer
6. Time
Based on preference. 8.00 am - 9.00 am
Time
:
7. Start Date
i.e. : First week of September 2019. etc.or any specific date (if any)
Your answer
8. Preferred Location (Area : Setiawangsa, etc.)
If possible to include house number, house address
Your answer
9. Type of Coach
Each of category below can be shared up to two (2) players.
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
Your answer
11. Sports Target
12. Additional Special Request (please state below)
Your answer
13. 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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