Application Form for Open Category

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Application Form for Coarch


Japan Pole Sports Association (JPSA)


To apply this coarch apprication, the coarch qualifications 2016/2017 edition by IPSF is required.
If you already have the coarch qualifications 2015/2016, it is required to take a renew taining class.
It is required to have any one of the below qualifications by IPSF.
Level1 - IPSF CODE OF POINTS TRAINING
Level1 - ANATOMY, PHYSIOLOGY & BIOMECHANICS
Level2 - YOUTH POLE SPORTS COACH
Level2 - JUDGES TRAINING


■Applicant
※Please enter those who are entry coarch here.
※Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
* Items marked is required fields.

* Full Name
* Sex  Male      Female
* Date of Birth Year   Month   Day  
* Age
* Country
* Zipcode
* Address
* Phone Number
* E-mail Address
Please enter your e-mail which attachments can be received address from jpsc2017@japanpolesports.org.
* Qualifications by IPSF Please choose the below qualifications you already have and enter the date of acquisition.

 Level1 - IPSF CODE OF POINTS TRAINING  Date of acquisition  Level1 - ANATOMY, PHYSIOLOGY & BIOMECHANICS  Date of acquisition  Level2 - YOUTH POLE SPORTS COACH  Date of acquisition  Level2 - JUDGES TRAINING  Date of acquisition
* Name of athlete / Division

■Consent column
Those who apply to Japan Pole Sports OPEN Competition, Please confirm "Code of Points" and please agree to the regulations.

I agree to the Regulations.