LEVEL 1 Authentication IN Training FOOTBALL SHREWSBURY SPORTS Town Ladies Just THURSDAY 17 TH JUNE 6PM TILL 9PM SATURDA.


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1st4Sport Level 1 Certificate in Coaching Football. Anybody matured 16 or over with a ... White European White Non European. Handicap Do you view yourself as to have a ...
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LEVEL 1 CERTIFICATE IN COACHING FOOTBALL SHREWSBURY SPORTS VILLAGE WOMEN ONLY THURSDAY 17 TH JUNE 6PM TILL 9PM SATURDAY 19 TH JUNE 9AM TILL 5PM THURSDAY 24TH JUNE 6PM TILL 9PM FRIDAY 25 TH JUNE 6PM TILL 9PM SATURDAY 26 TH JUNE 9AM TILL 5PM 1st4Sport Level 1 Certificate in Coaching Football Anyone matured 16 or over with an enthusiasm for training and an energy for adapting new aptitudes and strategies. The course incorporates the FA Safeguarding Children capability and FA Emergency Aid Workshop. Cost £20.00

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SHROPSHIRE FOOTBALL ASSOCIATION 1 ST 4SPORT QUALIFICATIONS/THE FA COURSE APPLICATION Course: Level 1 CCF WOMEN ONLY Date of Course: 17,19,24,25,26 TH June 2010 Name of Attendee:______________________________________Title______ Address: ______________________________________________________________ _____________________________________Post Code_____________ Signature of Attendee _______________________________________ Gender Male/Female (please circle or erase) Date of Birth____________________________________ Tel No: (Home) _________________________________________ Emergency No:_________________________________________ Club/Organization _______________________________________ E-MAIL_______________________________________________________ Please note unless expressed ALL affirmation will be sent by means of email. On the off chance that you don\'t have web get to please prompt and your data will be sent in the post. If it\'s not too much trouble finish this structure and come back to: Zoe Griffiths – Football Development Administrator Leisure Services, Shropshire Council, The Shirehall, Abbey Foregate, Shrewsbury, Shropshire. SY2 6ND Email: zoe.griffiths@shropshire.gov.uk

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Ethnicity – I would portray my ethnic root as: Asian British Bangladeshi Asian British Indian Asian British Pakistani Bangladeshi Black African Black British Chinese Indian Mixed White & Asian Mixed White & Black African Mixed White & Black Caribbean Other Asian Other Black Other Mixed Background Other White Pakistani Prefer not to say White British White Irish White European White Non European Disability – Do you view yourself as to have an incapacity? Yes/No/Prefer not to say If Yes, what is the way of your handicap? (If it\'s not too much trouble circle) Hearing Multiple Mobility Other Learning Visual Physical Prefer not to say Please tick this case in the event that you would prefer not to get data from Shropshire FA Please express any condition(s) requiring pharmaceutical e.g. Asthma_______________ Please tick in the event that you have a present emergency treatment qualification____________ Please tick on the off chance that you have a shielding youngsters certificate______________ (Proof will be required) I comprehend that the course I am applying for will oblige me to take an interest as a mentor and player and I affirm that I am physically arranged to take part YES/NO I acknowledge that Shropshire Football Association can\'t be considered in charge of any misfortune or harm I may manage whilst participating in this course. Marked… … .. Date… … .. Guidelines and Conditions: Cancelations must be gotten no later than 48hrs preceding the begin of the course by either letter or email or the full charge will be payable. Discounts won\'t be issued after this due date. All courses are liable to members numbers. In case of a course being crossed out you will be reached no later than 48hrs preceding the course is because of run. In case of this full discounts will be given. Information Protection The data gave by the candidate will be utilized exclusively for the reasons for the Shropshire Football Association.

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