Level 3 Tennis Coaching Application form

Application form for the
Level 3 Coach Course
Application forms may be emailed to
[email protected] or posted to:
Growing The Game Ltd
Suite 121
5 Liberty Square
Kings Hill
West Malling
Kent
ME19 4AU
ABOUT THE LEVEL 3 QUALIFICATION
If you are considering a career in tennis coaching then this is the course for you. The Level 3 Qualification
covers the key coaching skills required to be an effective coach as well as the tactical, technical, physical
and mental information a coach needs to work with beginners and improvers. It is a major and rewarding
step for coaches ready to acquire the skills of a full-time professional tennis coach. It provides a rounded
training in on court skills and in how to work as a coach in your chosen professional setting.
Duration of the course
The course is 12 days (4 x 3 day blocks) plus 1 assessment day. You will also be required to complete
approximately 4 hours of coaching experience between each block.
How to apply
To apply for this course, please complete this application form, providing full answers to every question.
Failure to provide complete information will delay your application and you may not be accepted onto
the course.
Places are limited so please book early to avoid disappointment.
Course pre-requisites
To make a successful application to this course you must:
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hold the 1st4sport Level 2 Certificate in Coaching Tennis
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be LTA Registered or have a current DBS which is less than 12 months old when starting the
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course (formerly CRB Enhanced Disclosure) processed through the LTA
have (or have had) a rating of 6.1 or a Play Test Grade 1, and if necessary provide evidence of
your Play Test result
Have a current Emergency First Aid at Work certificate which is HSE approved
LTA Registration is a form of accreditation issued by the LTA to coaches and coaching assistants who meet
a range of requirements relating to safety and training. These include having a DBS (formerly CRB
Enhanced Disclosure) and valid First Aid certificate. Therefore if you are LTA Registered you will already
meet these two course requirements.
If you are not currently LTA Registered, the LTA requires the completion of Disclosure and Barring Service
(DBS) (formerly CRB) before enrolling on this course. An LTA DBS disclosure can be obtained via the LTA
website.
To take the Coach Qualification you may need to take a Play Test if you cannot prove a minimum bestever rating of 6.1.
You must be able to attend all the course dates listed below at the same venue. Under no circumstance
can a candidate miss parts of the course or move between venues.
APPLICATION FORM
Learners applying for the Level 3 Award in Coaching Tennis qualification should complete this form and
return to the course organiser. Please complete all sections clearly in BLOCK CAPITALS.
VENUE
Venue of course you
wish to attend
Start date of course
you are applying for
Course code
(if known)
PERSONAL INFORMATION
First name
Surname
Age on first day of
the course
Full Postal Address
Date of birth
Postcode
Email
Phone (h)
Phone
(m)
Gender
Emergency contact
name and number
You must supply the following information before your place is confirmed on the course
Please confirm which of the statements is correct:
1. I am an LTA Licensed Coach
2. I am an LTA Registered Coach
LTA British Tennis membership (BTM) number
LTA Coach Code or Registration Number
CO
Male / Female
MEDICAL INFORMATION
So that the tutors can accommodate your needs, please indicate if you have any of the following:
Asthma
Diabetes
Dyslexia
yes / no
yes / no
yes / no
Epilepsy
Hearing impairment
Use of a wheelchair
yes / no
yes / no
yes / no
Other (please state) _____________________________________________________
CRIMINAL CONVICTIONS
Do you have any criminal convictions, cautions or reprimands?
Yes / no
(N.B. any convictions, cautions or reprimands, including those that are spent, should be declared)
If yes please state, with date ______________________________________________
Your application may be processed more quickly if you attach a separate sheet outlining the nature and
circumstances of any convictions/cautions.
ADDITIONAL LEARNER INFORMATION

How did you find out
about Growing The
Game?
(please tick)
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
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What coaching
experience do you
have? Please provide
the type of players you
have been coaching.
What tennis playing
experience do you
have?
Previous course with Growing The Game. If so,
which:________________________
Recommendation:
LTA county:
LTA website:
Internet search engine (if so, which
one):_______________________________
Facebook:
Other (please
state):_________________________________________________
Is there anything else
you would like the
tutors to know before
the course?
During the course, and as part of your assessment, you will be required to complete a minimum of 27 hours of
coaching experience with a qualified licensed tennis coach. Please give the name of coach(s) and venue(s) where
this experience will take place
HOW TO PAY
The full course fee is £650.00 including VAT.
To pay online go to: www.growingthegame.co.uk and click ‘Coach Education’.
To pay electronically
By BACS direct to Growing The Game Ltd:
Santander Bank
Sort Code 09-01-28
Account 37061077
PLEASE REFERENCE YOUR PAYMENT CLEARLY WITH THE COURSE CODE OR VENUE/START DATE
To pay by cheque:
Cheques should be payable to Growing The Game Ltd and sent to:
Growing The Game Ltd
Suite 121
5 Liberty Square
Kings Hill
West Malling
Kent
ME19 4AU
Once payment has been processed and your application form has been received you will be contacted
with more details about the course.
When applying for the course, you must enclose the following:
 completed and signed application form, to be returned to the address shown on page 1
 full course fee of £650.00 including VAT (please tick which applies)
Please tick as appropriate:
o I am paying online via the Growing The Game website (please tick) 
o I am paying by BACS online banking and have referenced my payment (please tick) 
o I am paying by cheque (please tick) 
DECLARATION AND TERMS AND CONDITIONS
I understand and agree that:
1. Growing The Game Ltd is responsible for the administration and delivery of this course.
2. I must attend all the scheduled sessions during the course in the correct sequence and at the agreed
venue, to qualify for assessment.
3. If I apply and pay for the course without submitting a photocopy of a valid LTA DBS certificate either to
Growing The Game Ltd or the course tutor by the end of the course, I will not receive certification.
4. If I withdraw from the course less than 21 working days before the start date then the full course fee
will be forfeited if the vacancy is not filled. Once I have enrolled onto a course I must attend all 13 days at
the same venue. Under no circumstances, other than medical (supported by a doctors note), can I miss
parts on the course. If I choose to move to another course, I understand that I am liable for an additional
£30 administration fee every time I change courses. I also understand that if I withdraw at any stage
during the course I will lose the full course fee.
5. Growing The Game Ltd is not liable for any damage or loss caused under this application process or for
the duration of the course save where this is caused by the negligence of Growing The Game Ltd, its
employees and directly affiliated bodies but any such liability shall be limited to the extent that such loss
was reasonably foreseeable at the time the contract was entered into. For the avoidance of doubt this
clause in no way excludes or limits the liability for personal injury or death caused as result of the
negligence of Growing The Game Ltd, its employees and affiliated bodies.
6. Growing The Game Ltd reserves the right to reject any applicant whom it considers to be an unsuitable
person for involvement on its tennis training courses. This right may also be exercised retrospectively if
information is brought to the attention of Growing The Game Ltd, which, if known at the time of the
application, would have rendered the learner unsuitable. For the avoidance of doubt, the falsification of
any information requested in this application form and/or the existence of any police record or caution
relating to matters considered to be incompatible with certification, constitute circumstances where
Growing The Game Ltd reserves the right to withdraw or suspend a learner’s qualification.
7. Growing The Game Ltd reserves the right to cancel the course if enrolment numbers are fewer than 8.
This is, however, an infrequent situation. In such cases, I will be offered the choice of a full refund or a
place on another Growing The Game Ltd Level 2 course. I understand alternative course venues and dates
may not be as suitable to me as the one which I originally intended to attend.
8. In the event of not being successful in my initial assessment on Day 5 of the course, I will be offered the
opportunity to be reassessed by Growing The Game Ltd. My reassessment will be held on a different
course at a different date and venue, which must be agreed with the coach education manager at
Growing The Game Ltd. I understand that there will be a non-refundable fee of £40 per reassessment.
DATA PROTECTION
Growing The Game Ltd will use your personal data including sensitive personal data for coach education
purposes only and to send you, by post or email/SMS, information related to those purposes.
For further details please contact Nick Elliott at [email protected] or on 07774 940474
To help us develop coaches:
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Growing The Game Ltd will also add your name and contact details to its secure database
and you will receive occasional coach education newsletters and other relevant promotional
material unless you tick this box: 
Growing The Game Ltd may contact you or send you information about other courses and
products and about offers from carefully selected third parties by post, e-mail or SMS. By
returning this form we will assume you have consented to this, unless you tick this box: 
Growing The Game Ltd may pass your contact details to carefully selected third parties so
that they can send you, by post, details of their products and services. By returning this form
we will assume you have consented to this, unless you tick this box: 
By signing this application, you are deemed to understand and accept the foregoing. I confirm that this
application has been completed honestly and accurately:
Signature of applicant
Please return this form to:
Growing The Game Ltd,
Suite 121
5 Liberty Square
Kings Hill
West Malling
Kent
ME19 4AU
Date