Kinsale AFC

* Full name

* Email (for receipt)

Mobile number

* Role in Club?

Garda Vetting Date Completed

* Garda Vetting Reference Number (13 Digit)

* Sports Safeguarding 1 (Date Completed)

* Sports Safeguarding Reference Number

* Coaching QualificationsPDP1PDP2PDP3Workshop 7v7Workshop 9v9Workshop 11v11Football For AllNational D LicenceNational C LicenceGK D LicenceGK C LicenceFootball Fitness IntroFootball Fitness C LicenceFootball Fitness D LicenceUEFA C LicenceUEFA B LicenceUEFA A LicenceNone

* Agree to FAI rulesNoYes

* Agree to abide by Club Decisions, Constitution & Under Age CharterNoYes

* Communications PolicyNoYes

* Date of Birth

* Have you completed a first aid course?YesNo

* Team(s) your involved with (tick box)U6 boysU7 boysU8 boysU9 boysU10 boysU11 boysU12 boysU12a boysU13 boysU13a boysU13b boysU14 boysU14a boysU14b boysU15 boysU15a boysU16 boysU16a boysU17 boysU18 boysU19 boysSenior menAcademy girls u6-8Girls u9Girls u11Girls u12Girls u12bGirls u13 Girls u13bGirls u15Girls u15bGirls u17Girls u19Senior ladies

Founded 1935

Kinsale AFC

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