Individual Registration

Please enter your information in the form below to register for Level 2 Coaching Course - Paarl Gimnasium.

First Name *

Last Name *

Email *

Mobile Number *

ID Number *

Date of Birth *

Gender *

Ethnicity *

Province *

Country *

Age Group Currently Coaching (Hold Ctrl to select multiple options) *

What date did you receive your SAHA Level 2 Bridging Accreditation? *

Upload Your Hockey CV (PDF Only) *

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Expiration Date*

Card (CVV) Code*

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By registering for this course, I accept the Terms and Conditions

Verification code*

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