Spirit Points Course Booking and Learning Agreement Form

Name (to be used on certificate)*

First NameLast Name

What do you like to be called?

Address*

Street Address

Street Address Line 2

City

Postal / Zip CodeCountry

Email*

example@example.com

Phone Number*

Area CodePhone Number

Which course and venue would you like to book? (For virtual courses please give preferred dates)

(Courses will only run with a viable number of students)

Would you like to be added to a WhatsApp Group with your other course members in the week prior to the course?

Yes pleaseNo thanksI'm not sure, ask me again later!

For in person courses, do you have any allergies, intolerances or food preferences?

For in person courses, what drinks do you like during the day? Any favourite teas, coffees, milks or cold drinks?

If you have any medical conditions that maybe affected during the practical work, please include them here:

Do you consider yourself to have a disability, learning difficulty and/or health problem? If yes, please specify below.

If you answered yes, please add any more information here.

Do you have a statement of educational needs?*

YesNo

Do you have any special requirements that would help your learning?

How did you hear about Gentle Release Therapy?*

Signature*

Copyright Declaration

No part of the the course notes, recordings or materials (including handouts) may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Helen Robinson. Teaching any of the techniques or methods for Gentle Release Therapy is also forbidden unless permission is received from Helen Robinson in writing.

By signing below I agree to the copyright terms stated above.

Name*

First NameLast Name

Date*

Date

GENERAL DATA PROTECTION REGULATION (GDPR)

GDPR regulates legal protection for personal information from May 2018. This tells you what personal information we hold and why, and what your rights are. By checking boxes to say you have read and agree to the privacy policy on the website and or signing this form you will be accepting this policy.

Data Controller & Tutors Name: Helen Robinson

Contact Details:

Telephone No: 07826 514803

Email address: hello@gentlereleasetherapy.com

Address: 37 Main Street, Scothern, Lincoln, LN2 2UJ

The Purpose of processing student data

In order to give professional training, we will need to gather and retain certain information about you. We hold and use data in order to provide you with the best possible learning experience, support and advice. Basic contact details and information via my website to allow us to contact you and handle bookings.

Lawful Basis for holding and using Client Information (Helen Robinson)

As a full member of the Association of Reflexologists and the Federation of Holistic Therapists, I abide by their Codes of Practice and Ethics. The lawful basis under which I hold and use your information is my legitimate interests my requirement to retain the information in order to provide you with the most appropriate training, follow up support, and advice.

If you submit case studies as part of my training course, these will include health related information and in this instance my requirement is to hold this information until I cease to offer training courses or for 7 years after you have attended my course, as this information may be required in the event of an insurance claim made in relation to your training.

You are required to get signed privacy statements from any person you keep records on, including case studies. You will be required to submit a copy of this privacy statement along with any case study submitted to your tutor.

As I may hold special category data (i.e. health related information) about you, the reason I hold and use this information is for me to fulfil my role as a Therapist trainer bound under the AoR and FHT Confidentiality clauses.

What information we hold and what we do with it

In order to give professional learning opportunities and follow up support to students the following information will be held:

· Your contact details

· Your learning requirements

· Health issues which may affect provision of learning

· Case studies submitted (if relevant)

· Copies of certificates issued and records of students’ progress.

We will NOT share your information with anyone else (other than appointed course tutors (for example if a complaint is raised), or as required for quality verification, for legal process, or on your request to confirm that you have completed my course satisfactorily) without explaining why it is necessary, and getting your explicit consent.

We may contact you using the contact preferences you give me in relation to:

· Providing you with additional supporting material for the course

· Therapy updates

· Future training events, special offers and promotions (you may unsubscribe from this at any time)

How Long we Retain Your Information for:

We will keep your personal information for 7 years.

Protecting Your Personal Data

We are committed to ensuring that your personal data is secure. In order to prevent unauthorised access or disclosure, we have put in place appropriate technical, physical and managerial procedures to safeguard and secure the information we collect from you.

Your Rights

GDPR gives you the following rights:

· The right to be informed:
To know how your information will be held and used (this notice).

· The right of access:
To see your tutors records of your personal information, so you know what is held about you and can verify it.

· The right to rectification:
To tell your tutor to make changes to your personal information if it is incorrect or incomplete.

· The right to erasure (also called “the right to be forgotten”):
For you to request your tutor to erase any information they hold about you

· The right to restrict processing of personal p>

· The right to data portability: under certain circumstances you can request a copy of personal information held electronically so you can reuse it in other systems.

· The right to object:
To be able to tell your tutor you don’t want them to use certain parts of your information, or only to use it for certain purposes.

· Rights in relation to automated decision-making and profiling.

· The right to lodge a complaint with the Information Commissioner’s Office:
To be able to complain to the ICO if you feel your details are not correct, if they are not being used in a way that you have given permission for, or if they are being stored when they don’t have to be.

Full details of your rights can be found at https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/individual-rights/.

If you wish to exercise any of these rights, please use the contact details given above.

If you are dissatisfied with the response you can complain to the Information Commissioner's Office; their contact details are at: www.ico.org.uk

Cookies

You can set your browser to refuse all or some browser cookies, or to alert you when websites set or access cookies. If you disable or refuse cookies, please note that some parts of our website may become inaccessible or not function properly.

Changes to the policy

We reserve the right to modify this privacy policy at any time, so please review it frequently. Changes and clarifications will take effect immediately upon their posting on the website. If we make material changes to this policy, we will notify you here that it has been updated, so that you are aware of what information we collect, how we use it, and under what circumstances, if any, we use and/or disclose it. You will always be able to request previous versions of the policy.

Student Declaration

I accept the terms and conditions of booking.

I have read the course handbook and agree to follow all policies and procedures.

I have read the GDPR information and give permission for my information to be used as specified in the policy.

I confirm that all the information on this form is correct and I understand that if I have declared false information the provider may withdraw or withhold my qualification.

Student sign here to accept these terms*

Name*

Date*

Date

How would you like to pay for the course?

BACS (please send me an invoice)By Card

Any notes about how and when you want to pay?

To pay by card

GBPInsert the amount you would like to pay now

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration