2017 National Swimming Teachers and Coaches Conference Online Booking Form

6th 9th July 2017

Penzance Primary School, Durban

PLEASE FILL IN FORM

 

 

Full Conference
 
Half Conference
 
 Accreditation Status Coach / Teacher
 
Accredited None Accredited
 
Gala Dinner

           

Full Name & Surname       
Race
Gender
ID Number
Golf Shirt Size
SSA Registration Number
Name of School / Club
Affiliate
E-mail
Cell Number
Dietary Requirements NB

NB: PLEASE ATTACH COPY OF YOUR SSA COACHING / LTS CERTIFICATE

        

         
Payment is to be made to the following bank account: Account Name :
KZN Aquatics Bank :
Standard Bank Westville
Account No: 053074564
Branch Code: 045 426
Reference: NSC & Name of the Delegate
NOTE: NO CASH WILL BE ACCEPTED