2024 C Licence Evaluation Block 3 Registration Form
Please complete the form below for the July-September period
Coach's Full Name
*
First Name
Last Name
Current Club
*
Please type out the full name of your current organization
E-mail
*
Contact Phone Number
*
-
Area Code
Phone Number
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When did you complete training for your C Licence?
*
Before 2019
2019
2020
2021
2022
2023
Is this your first Observation of Competency (evaluation) for the C Licence?
*
Yes
No
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C Licence Evaluation
$
Free
CAD
First Attempt included in course fee (2019 or later)
Second/Third attempt
Evaluation not included in course fee (Pre-2019)
C Evaluation Spot (must be selected to book your spot)
$
Free
CAD
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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