Course Registration Form

Bleed Control Kit Awareness Session Registration
With five recently installed kits across the town, we have teamed up Bin the Blade to deliver three bleed control kit awareness sessions at the Colemans Farm Community Centre, 15 Angel Close, Calne SN11 8PF.

If you would like to attend one of these sessions, please fill out the form below.

Spaces are limited at 20 places each session.
Name

First NameLast Name
Age
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Which session would you like to attend? (Thursday 13th August)
Another session will be run by Rise Trust Youth at 6.30pm - 7.30pm, please speak with your youth worker to sign up.
Additional Comments
Should be Empty:

Bleed Control Kit Awareness Session Registration