AFC Goalkeeping Level 1 Coaching Course
Thank you for showing interest in the AFC Goalkeeping Level 1 Coaching Course! Please take a moment to answer our quick questionnaire and you will be contacted after if you are eligible to participate in the course.

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Last Name *
First Name *
Date of Birth *
PLEASE DOUBLE CHECK BIRTH YEAR (DO NOT PUT 2019)
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/
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Place of Residence *
Email *
How did you hear about this coaching course? *
Required
Please check all the courses you have attended *
Required
Club Affiliation *
How are you affiliated with the club? (Check all that apply) *
Required
School Affiliation *
Example: Father Duenas High School, but if you do not associate with a school kindly put 'N/A'
Are you currently an active coach? *
Please list all coaching certifications *
Required
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