Coaching Application

Governing Body Level 1 Coaching Award (Assistant Coach)

Applicants must be a minimum of 3rd Kyu and 16 years+.

Cost £35.

All fields are required.

Your name

Date of birth

Email address

Your contact address

City

Postcode

Telephone number(s)

Association

WKGB Licence Number

Expiry Date

Your grade/rank

Head of Association

Details of coaching qualification, experience and awards (level 1, level 2 etc.)

Do you have any previous or outstanding proceedings against you for misconduct or malpractice? Yes No

If 'yes', please supply details

Do you agree to a Disclosure and Barring Service (DBS) check Yes No

A fee of £35 is due for the Level 1 Coaching Award and can be paid by cheque or bank transfer.

Please make cheques payable to WKGB Ltd and post to:
WKGB Administration Officer, 63 Ashcroft Crescent, Fairwater, Cardiff, CF5 3RL.

To pay by bank transfer, please use the following details.

I confirm the details I have given are true & accurate to the best of my knowledge

Please confirm

Send