DEVELOP / GROW - Booking Form for Training Courses 2009

 

Please complete a booking form for each course

 

Name

Organisation

 

Address & Postcode

 

 

Telephone

 

 

Email

(Required)    

Job role

Course Name

Course Date & Location

Cheque sent

      Value

 

 

Please Invoice

      Value

(Please make cheques payable to DEVELOP Enhancing Community Support)

 

If posting cheques please send to: Develop, 3-4 New Road, Chippenham, Wiltshire, SN15 1EJ

 

Please answer the following questions:

 

1 Have you read and understood the course objectives? (On flyer)              YES/NO

 

2 Have you contacted DEVELOP/GROW to check availability of places?                YES/NO

 

3 Is there anything we can do to ensure this course is accessible to you? (Please give details of how we can help and return this form as soon as possible e.g. hearing loop, large font handouts)

 

4 Photo authorisation – we may take photos to use in the promotion of Develop/GROW courses and events.   Please check to indicate your agreement               YES/NO

 

Please tick to confirm that you wish to enrol on the above course and understand that the stated fee is non-refundable / will still be charged, unless a minimum of two weeks’ notice of cancellation is received.

 

I confirm that I wish to book a place on the above course

Date