Accredited Coaching Course
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
ID or Passport nr
*
Age group coached
*
e.g., U/19
Years of Coaching
*
Current Coaching Level Certificate to be uploaded
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Banking Details
Account holder: MRS. KAREN W ROUTH Account number: 12993608473 Account type: Savings Account Bank name: Nedbank Branch code: 461052 Forward POP to: twelvetidesnetballclub@gmail.com
Payment uploaded
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Receipt image or PDF, max 10MB
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Register
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