Week 2 Aug 20th to 24th
Any comments or questions
Full details of course
Date of birth
Email address please
Highest playing experience
Please confirm the days in week 2 that you will be available for mentoring and testing.
Medical conditions and/or medications
Receipt of form and of payment will be made as swiftly as possible by email or phone if no email address is given
The level 2 coaching course with a week’s mentoring and testing - £240.
Please send a cheque payable to ‘Chiswick Lacrosse’ to Chris Southwell, Bryn Deri, Haverfordwest, Pembrokeshire, SA62 6ND
or pay by transfer to: Midland Bank - Chiswick Lacrosse - Sort Code: 40-44-39 - account number - 81635638 please quote your name as reference.
I wish to do the level 2 coaching course. Sun 19th Aug 9 to 5.30 (Cost £240 incl mentoring)
ELA membership number
Click to register
Application form for Lacrosse Coaching Level 2 2018
Sun 19th Aug
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