COACH REGISTRATION FORM

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CONTACT INFORMATION

Email *

1. Name *

2. IC or passport number or YAKEB Member Number

IC is your Identity Card Number for Malaysian, Passport is your Passport Number for Non-Malaysian, YAKEB is Yayasan Kebajikan Atlet Kebangsaan. For YAKEB members you are required to fill up your IC and YAKEB member number

3. Shirt size (Lenght x Shoulder) in cm

XS (63 x 38.5)

S (66 x 40.5)

M (69 x 42.5)

L (72 x 44.5)

XL (74 x 46.5)

XXL (76 x 49.0)

Other:

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4. Email *

5. Address *

6. Phone number

7. Emergency Contact number (Number, Name & Relationship)

8. Bank Account Number (Bank & Account Number)

9. Sports Coaching type

Tennis

Swimming

Fitness (Gym, Running, Yoga, etc.)

Golf

Other:

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10. Coaching Level

Peer Coach- Compulsory : Proof of active participation in sports and actively spending a minimum of 4 hours sports coaching a week. Additional : Participate in any local/district/club tournament

Semi- Pro Coach- Compulsory : Have a coaching certificate (National or International level) and have a minimum 2 years of sports coaching experience, actively spending a minimum of 8 hours sports coaching a week. Additional : Won any local/district/club tournament

Pro - Coach - Compulsory :Have a coaching certificate (International level) with a minimum 5 years of sports coaching experience, actively spending a minimum of 12 hours sports coaching a week . Additional : Won any National/International tournament

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11. Qualification (Certificate name) or achievements (if any).

12. Available time (Day, Time) i.e. Tuesday, 5pm-7pm

13. Sports Location (for coaching purposes. Area/District & Sports venue name ) i.e. Setiawangsa, Datuk Keramat Sports Complex Tennis Court.

14. My sports coaching goal

To improve my coaching skills

To earn income for living

To create more champion / great player

Other:

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15. Declaration *

I agree with all term and condition made by Go Coach . Any incident related to Go Coach activity is under my responsibility. I will act professionally and being honest during all Go Coach activity. I will inform Go Coach to make any personal arrangement with Go Coach customer. All information above are correct. I authorize Go Coach Global Sdn. Bhd. or its agent(s) to take and use my photograph (still or electronic) and/or testimonial/comments for the purposes of marketing and promotion which may include, but are not limited to promotional materials such as brochures, web site, college calendar, print/broadcast/digital media advertising, etc., for an indefinite period of time. Said materials may be used by organization partners and affiliated organizations, in conjunction with my name including composite or distorted representations for advertising, trade or any other lawful purposes. I waive the right to inspect or approve any finished products. I will hold Go Coach Global Sdn. Bhd. safe and harmless against any legal prosecution or suit arising from or prompted by the use of all or any portion of the material in which I appear.

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