FOOTBALL FEDERATION
TASMANIA
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Junior Licence - Devonport

A Junior Licence course will be conducted by Kurt Reynolds.

WHERE: Devonport, at Valley Road. 

WHEN:  9:00am-4:00pm Saturday 28 August
       9:00am-4:00pm Sunday 29 August

Registration is $75 per person with a minimum of 12 coaches required. 

Coaches will be expected to take part in practical sessions.

Please note that enrolments to this course have closed
Your details will be recorded and the course co ordinator notified
however you should check with Football Federation Tasmania Ltd
to see if your enrolment will be accepted

Please ensure that you click the 'Enrol' button after completing this form
You should receive a confirmation email, please contact Football Federation Tasmania Ltd if you don't
Registration #
Current Club
Family Name
Given Names
Gender
Date of Birth
Address
Post code
Contact phone
(This MUST BE the participants phone number)
Email address
(This MUST BE the participants email address)
Payment method

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Software Copyright (c) 2005, 2006, 2007, 2008 Internet Computer Software Pty Ltd
PO Box 279 Sandy Bay 7006 Tasmania Australia