EKF Tatami Coach Accreditation Course Registration - 01.12.2024

Please complete this form including all mandatory fields. Registration form will be submitted upon successful payment where your form will be processed. Please contact Tony Dent (Head of EKF Sports Coach (Tatami) Education) Tony.Dent@ekfreferee.com for any queries.

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EKF Coaches who wish to take the coach accreditation course and exam, must provide a copy of their Update Service registered enhanced DBS certificate, in advance of the course.


VENUE:
Honeywell Sports College
Honeywell Lane
Barnsley
S75 1BP

10:15am Registration
Theory for coaches 10:30am - 12:30pm
Theory Exam 12:30pm - 1pm
Results 1:30pm

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Personal Details

Applicant's Full Name: * Street Address: * Town/City * Post Code: * Email Address: * Home Telephone No.: * Mobile Telephone No.: * Date of Birth: *

Gender: *

Male Female Prefer not to say

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Karate Details

Registered Association/Club: * Style: * Select an option:SHOTOKANSHITO-RYU/SHUKOKAIGOJU RYUWADO RYU/WADO KAIBUSHIDO RYUOTHER Karate Grade: * Select an option:10th Dan9th Dan8th Dan7th Dan6th Dan5th Dan4th Dan3rd Dan2nd Dan1st Dan1st Kyu2nd Kyu EKF Blue/White Licence Slip No.: *

ONLY BLUE & WHITE EKF SLIPS ARE VALID AS OF DECEMBER 31ST, 2021
Registering for this course using the old Red & White Slip will render this application invalid.

EKF Licence Issue Date: *

EKF Licence Expiry Date: *

EKF Region * Select an option:Northern RegionMidlands RegionSouth West RegionSouth East Region

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Course / Exam

Select Required Course / Exam: * Select an option:Tatami Coach Accreditation Fee per exam (£50.00 GBP)

Examination Pass Marks:-

Coaches:-
50% - 1 Year Badge
60% - 2 Year Badge
70% - 3 Year Badge

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Notes

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For Coaches Accreditation TWO PASSPORT SIZE PHOTOS are to be provided and brought to the course

PLEASE BRING A STAMPED ADDRESSED ENVELOPE TO THE COURSE SO THAT YOUR BADGE CAN BE POSTED TO YOU ONCE ALL CRITERIA HAVE BEEN FULFILLED

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Declaration

To take the coaches course, I confirm I am minimum 18 Years Old and a minimum 1st Dan. * For the Coaches Accreditation Course, I confirm that I already have a Valid Enhanced DBS Certificate on the DBS Update Service and will send proof PRIOR TO THE COURSE *

Please send the Proof of your Update Service registered Enhanced DBS certificate to, Tony.Dent@ekfreferee.com prior to the course. This needs to be the certificate itself, not a screenshot of your update notification

Registrations will only be accepted on receipt of the proof that your DBS is on the Update Service. NO PROOF = NO COACH BADGE

The EKF fully comply with UKAD and WADA Anti-Doping Legislation for a 'Clean Sport'. As an EKF Member, I confirm that I am fully compliant with UKAD and I and agree to testing if and when required *

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Signature of Applicant: *

Date: Friday, 15 November 2024 (EST)

Name:

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