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* 1. Contact Details

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* 2. I would like to attend the following...(please select all that apply)

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* 3. Previous Coaching Experience

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* 4. Emergency Contact Information

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* 5. Do you require any special requirements for the workshop? (e.g. ramp access) 

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* 6. I agree that my data can be used for the purpose of contact in relation to the course (s) I am attending

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