Event Interest

Events Form 2020

Please use the form below to register your interest in any of our events, By completing this form you all the details being given are true to the best of your knowledge and you are giving us permission to contact you in relation to your chosen event.

Full Name *

Home Address *

Home phone number *

Mobile phone number *

Email address *

Event of Interest *

Please select your event of interest.

What is your interest in this course?

Emergancy contact 1 (Home/Family) *

Must include, Name, address and phone number.

Emergancy contact 2 (Work/Friend) *

Must include, Name, address and phone number.

Doctors deatils

Must include, Doctor's name, address and phone number.

Medical Confirmation. *

I am well at the time of applying for this course.

If any symptoms become apparent please refrain from attending the course and tell us straight away so that we can open the place for someone else. Of course any money you have paid will be reimbursed.

Medical consent *

I agree for first aid to be administered by a qualified First Aider, which could include the use of an antiseptic, an appropriate cream and/or plasters.

Permissions *