C Licence (Register Your Interest)

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IMPORTANT! Registering your interest does NOT guarantee a spot on the next course. It is your responsibility to register before the registration deadline posted and before the class fills up. Spots on the course are limited and once we open registration, it is on a first come first serve basis.

Email *

FIRST NAME *

LAST NAME *

DOB *

YYYY

GENDER *

Please indicate which region you are located in.

REGION *

ADDRESS *

CITY *

PROVINCE *

British Columbia

POSTAL CODE *

BC Soccer is using the Google Classroom platform for the C Licence online program which requires a Gmail account. Please provide your Gmail account ONLY (E.g. info@gmail.com) that you will use to complete the course and evaluation.

PLEASE NOTE: if you are using a non-gmail account linked to Google, you will need to create a new Gmail account and submit it below. Thank you.

GMAIL ACCOUNT *

PHONE *

SOCCER CLUB *

YEARS COACHING? *

Send me a copy of my responses.

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