Please complete the form below, fields marked with an * are required.
Cheque / Cash (please make cheques payable to Bermuda Football Coaches Association)Direct Deposit to HSBC, Acc. No. 011‐113669‐001 (please include your name on payment)
I agree and understand that the Bermuda Football Coaches Association (BFCA), and any other entity or organization which provides the facility and equipment for this course, are not liable in respect of loss or damage for any injury, illness or other conditions arising out of my participation in the C License. I hereby release, waive and forever discharge BFCA and any other entity or organization from any and all claims which may be made by me or on my behalf during my participation in the C License Course.
Any Questions contact Scott Morton 441‐324‐3023
P.O. Box HM 3306, Hamilton HMPX, Bermuda
99 Front Street,
Tel + Fax