Welcome to CandI United's Coach Registration
Please fill in the form below.
Tell us about yourself!
Some of this is essential, some optional. The more you fill in the more we get to know of you.
Name
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Surname
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D.O.B.
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Gender
Male
Female
Non-Binary
Prefer Not to answer
Other
Ethnicity
Address 1st line
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Post Code
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Mobile Number
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E-mail
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Current job
Favourite personal sporting memory
Most recent book/article/video that has inspired you
(If there is a link, please attach it)
Best piece/s of advice you've ever been given
Who/What motivates you most in life?
FAN Number : A FA Number (FAN) Number is a unique identification number which holds all your details and qualifications on the FA administration system
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Coaching Level obtained if applicable
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Coaching Level Obtained
Intro / BT Playmaker
Welcome to Coaching / Level 1 / Coaching Football
Level 2 / UEFA C
Level 3 / UEFA B
UEFA A in Coaching Football
Other
First Aid completed on:
Safeguarding Course completed on:
Declaration
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I agree to adhere to the Code of Conduct for coaches, members & players that is expected by CandI United
I acknowledge that this form will remain valid until I notify CandI United of any changes
Date
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Day
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Month
Year
Date Picker Icon
Consent
I consent to have my picture taken and displayed on CandI United website and any other online media associated with CandI United
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