FIVB LEVEL 1 BEACH COACHES COURSE -

26-30 JUNE 2023

Personal/Information

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IMPORTANT INFORMATION

Full Name__________________________________ Date of Birth____________________

ID/Passport N0_________________________ T shirt size ______Golf shirt size__________

Contact _____________ Nationality: ________________Gender:__________________

Email address ______________________________________Province_________________

District………………………………… institutions / Club-------------------------------------

Please indicate if any dietary requirements_____________________________________

Arrival date in Bloemfontein/Bon Hotel: ______________________________________

Opening Ceremony: Tuesday 26 June 2023 at OYDC at 9 hours (compulsory)

Departure date: _____________________

If needed we will assist with the local transport: Only for the 2 pickup points …..to OYDC

- Pick up, Kenneth Kaunda Airport please stick: YES OR NO

If yes Arrival date/time____________________________

- Pick up by bus Station please stick: YES OR NO

If yes Arrival date/time____________________________

Please x Room Allocation: Sharing: ______ ( most of the rooms will be shared)
Single: _______

Important Notice
Candidate must be appropriately attired during theory and practical sessions (clothing& footwear) also ensure
you carry your winter clothes/jacket.

NB: Candidates that require to book accommodation directly to hotel in Lusaka must contact:
Contact: Ms. Katongo Tiyabonse +260971447176: or Contact Mutale +26097922442 for assistance

Participant’ signature ________________________________ Date_________________________

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