DRIVER CPC - GROUP COURSE Booking Form

Just Training (East Midlands) Limited
First Floor, Tigers House, Tigers Road
South Wigston, Leicestershire, LE18 4WS

Tel 0116 2166488
Email : sales@just-training.co.uk
Driver CPC- GROUP BOOKING Form

Please confirm dates with us before placing a booking.
Organisation Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Email*
example@example.com
Telephone Number*
Location of Training Site*
Purchase Order No. if required
Delegates per course*

Up to 6Up to 12Up to 20
First Course Date for selected module*

DayMonthYear
Date
Select Required Module(s)*

The Healthy DriverPrimary Care First AidSecondary Care First AidDrivers Hours & Record KeepingManual HandlingSafer Driver (Also FORS Silver)Safer Driver On-Cycle ModuleMental Health at WorkWorkplace Transport SafetySafe LoadingOLAT Part 1OLAT Part 2Transport Environment
Second Course Date for selected module

DayMonthYear
Date
Delegates per course

Up to 6Up to 12Up to 20
Select Required Module(s)*

The Healthy DriverPrimary Care First AidSecondary Care First AidDrivers Hours & Record KeepingManual HandlingSafer Driver (Also FORS Silver)Safer Driver On-Cycle ModuleMental Health at WorkWorkplace Transport SafetySafe LoadingOLAT Part 1OLAT Part 2Transport Environment
Contact Name and Mobile on the day of training
Please provide a name and mobile for who our instructors should contact on the day to gain access or in case of an emergency
Terms and Conditions - Failure to attend*

We confirm that no refunds will be given for drivers failing to turn up for the booked course for whatever reason
Terms and Conditions - Cancellation of Booking*

We confirm that we understand we will be charged for thefull amount of this booking if we cancel the booking 14 days or less prior tothe course start date for whatever reason and that full payment is stillpayable if the booking has not been paid for at the time of cancellation.Cancellations made 15 days or more will be refunded in full. All cancellationsmust be made via email to sales@just-training.co.uk
Attendance, behaviour and ground rules*

We understand that any delegate who fails to attend for the full 7 hours, for whatever, reason, will not receive the upload to the DVSA portal, and that Just Training reserve the right to remove delegates off the course who are disruptive, unruly or aggressive.
Payment Terms*

Payment is due on booking. Unpaid bookings are still due for payment even if cancelled within 14 days of the course date. Late payment will incur additional charges and may result in uploads not being made
Periodic CPC Entitlement*

We confirm that it is our responsibility to ensure ALL drivers attending hold a DQC card (current or expired) or have grandfather rights to entitle them to participate in Periodic CPC Courses. If any driver has not got a DQC Card or Grandfather rights please NOTIFY us BEFORE the course start date.We understand that if drivers fail to attend without the correct photo ID, and fail to produce it to Just Trainings Leicester Office within 4 days of the course, the hours will be forfeited.
Upload of Drivers Hours*

We understand drivers hours will not be uploaded if payment is outstanding at the time of the course, and that I may lose all drivers hours is payment is made later than 4 days after the course has taken place. We therefore understand that payment is required at the time of booking
I understand that completion and submission of thisbooking form, is a firm booking, and that all cancellation terms apply once Isubmit this booking form : Please sign.*

Clear
Please notify us in advance if any delegate requires additional learning support
Should be Empty:

Driver CPC- GROUP BOOKING Form