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Course registration application form
Course registration application form
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Email
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Trainee Name
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Date of birth
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Afghanistan
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Netherlands
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Northern Mariana Islands
Norway
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Palestine (State of)
Panama
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Paraguay
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Pitcairn
Poland
Portugal
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Course Level
Player level 1 (small training)
Player level 2 (new level)
Player level 3 (trainer Assistant)
Trainer level 1
Trainer level 2
Trainer level 3 (Master trainer Assistant)
Lifeguard & NAEMT (level 1)
Lifeguard & NAEMT {level 2)
Lifeguard & NAEMT (level 3/Higher)
Association, Club, Company (Level 1)
Association, Club, Company (Level 2)
Please mark the correct level of your course.
Total
$0.00
Course Name
*
Please write the course name as registered with IWSF
Trainer name
*
Please write the name of your course trainer.
Organization/Company name
Please write the name of course organization or company.
Any special note
Please describe here any special note if have.
File Upload
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You can upload up to 7 files.
(Please upload a clear copy of your passport or ID card a clear photography to use on your IWSF license.
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