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Coach

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Personal Details

Male
Female
Kuala Belait
Brunei Muara
Tutong
Temburong

Coaching Level

Level Intro
Level 1
Level 2
Level 3

Current Affiliation

Yes
No

Medical Questionnaire

Emergency Contact Information

Declaration

I hereby declare that all of the information provided is correct at the time of completion and i understand that if anything changes i must inform Brunei Teqball Association.
I understand that there will be an annual membership fee of $20 and a one-time registration fee of $25 once validated and approved by the Brunei Teqball Association

Payment need to be done by cash

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Coach
45.00BND
Discount ()
-0.00BND
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Subtotal
Fee
45.00BND