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Welcome to Cricket Course Application Form (NCU)
Payment is to be brought on the day of the course.
Any cheques, please make out to 'Cricket Ireland' and state your name and the course you are attending along with your payment.
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* Indicates required question
Please select the course you wish to attend
*
Choose
Monday 26th October - Wallace High School (18.00 - 21.30)
Monday 16th November - Templepatrick Cricket Club (18.30 - 21.30)
Club
*
(or School / Organisation)
Your answer
First Name
*
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Contact Number
*
Your answer
Please state what age groups you currently coach or role within your club (e.g. Under 11 Coach)
*
Or 'None' if new to coaching
Your answer
If applicable, please provide a little information on your past coaching experience
This may include other sports
Your answer
Address
*
Your answer
Postcode
*
Your answer
Have you completed any of the following courses within the last 3 years?
*
First Aid
Child Protection
Access NI
None
Required
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