S-Type Training Academy Booking form
I am looking to:
*
Book onto a course
Enquire about booking onto a course
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Contact Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact:
*
First Name
Last Name
Emergency Contact Number
*
-
Area Code
Phone Number
Medical Conditions/Allergies/Learning Disabilities
Reasonable Adjustments Required?
Course
*
Please Select
First Aid at Work Only
Emergency First Aid at Work Only
SIA Door Supervisor With First Aid
SIA Door Supervisor Only
SIA Door Supervisor Refresher with First Aid
SIA Door Supervisor Refresher Only
Course Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Declarations
I confirm the information provided is true and accurate.
*
Yes
No
I agree to have photographs or videos taken of me to be used as part of my assessment on the course
*
Yes
No
I agree to allow S-Type Training Academy use photos/videos from the training sessions to use for social media posts
*
Yes
No
Signature
*
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Any Questions?
Next Steps
Thank you for completing the form. If you have booked onto a course we will send you your joining instructions & payment methods shortly. If you are enquiring about a course a member of our team will be in touch shortly to assist.
How did you hear about us?
Google
Facebook
Linkedin
Email
Word of mouth
Other
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