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香港閃避球總會 Hong Kong Dodgeball Association

Reply Form For 20-hour Practical Assessment


(Level One Coaching Course)
Level 1 Coach Course Code: ________________________________________________________________________________
Name : ___________________________________ Tel : ___________________________________________________
Membership No. : _______________________ E-mail Address: __________________________________________

Date Class Name Time Hours Signature

*** Please send the form back to Mr. Jacky Luen (Coaching & Development) after all assessments
are fulfilled (≥20hours). E-mail: jackyluen@hkdodgeball.com (Contact no. 6740 4415)

For Official Use

Membership No. __________________ Date Received. ____________________ By. ________________________________

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