Your email address:
Your contact number:
Which club or activity group are you coaching?
Are you a student/non-student? StudentNon-student
What coaching/instructor qualifications do you hold?
Do you hold a first aid qualification? NoYes
Do you have public liability insurance? NoYes
Declaration of self-employment number:
After completing this form please email a copy of any coaching, first aid certificates or public liability insurance documents to email@example.com (if you’re an instructor for a club) or firstname.lastname@example.org (for an activity group). Once we have received these documents you will be emailed to confirm you are registered. By completing this form you accept that you are not employed by KCLSU but offer your coaching/instructing services to us.