This survey is to collect details of those wishing to attend a Assistant Water Polo Coach and Water Polo Coaching course, we will feed our requirements back to the IoS team to support the organisation of courses. 

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* 1. Name

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* 2. Swim England Number

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* 3. Email Contact

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* 4. I Coach or wish to Coach at the following Club/s within the East Midlands and West Midlands

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* 5. I require the following courses
Please note Assistant Coach (previously level 1) requires full completion prior to enrolling in the Coach course - if you are looking to complete both courses please tick both and we will put a note against the numbers

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* 6. Any comments?
(e.g. already booked on to and currently undertaking Assistant Water Polo Coach so require completion prior to starting Coach course)

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