South/East Freo Level 1 Coach Accreditation

The East and South Fremantle Districts are conducting a Level 1 Coach Accreditation Course

AUSKICK/MODIFIED/YOUTH
Date: Sunday 7th April 2013
Venue: East Fremantle Oval, Moss Street, East Fremantle
Time: 8.00am arrival to 1:00pm

Enrol now for the Level 1 Coaching Course for
- Auskick (Pre Primary - Year 3)
- Modified (Year 4- Year 7)
- Youth (Year 8 - Year 12).

Name Name First Last
Date of Birth Date of Birth / DD / MM YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Phone Number
Email
District
Club
Are you or have you been a football coach in the past?
If yes please list what accreditation you held i.e. If you are sitting your Level 1 Youth, you may have held a level 1 Junior accreditation. If you know your accreditation number please provide it here.
I wish to apply for the following Accreditation Course

Applicants are required to select one of the listed options
Payment Options