Course Booking form

Date:
Course code: HOT...
Name of Course required:
Course start date:




Learner Information

Your Full Name:
Mr/Miss/Mrs/Ms:
Date of Birth (DD/MM/YYYY):
Age:
Sex:
Nationality:
Full postal address including postcode:
Contact telephone numbers:
Occupation:
Email Address:




Personal Information

(please give details of any medical condition, disability or Learning difficulty which you feel need to taken into consideration)
Any Medical Condition (please state):
Any disability (please state):
Learning difficulties (please state):




Previous experience

Please give details of any previous experience or qualification you may have in this or related subject:




In case of emergency

Name of Friend or relative:
Relationship to you:
Contact Number:




Agreement

I understand that a fee is payable on booking and that my place will only be confirmed once payment has been received.
All course fees are to be paid in full prior to course starting for all CPD courses and at least one month before the end of Diploma courses.
No refunds of deposits will be given if I cancel my place within 7 days of start of course.
I have received information and advise for each course I have applied for.
The information includes a course outline, the work needed to cover the criteria and the requirements of the examination, where appropriate.
My main aim is to complete the course and to achieve the qualification for which I am entered.
I understand that it is my responsibility to notify Handz on Training, Therapy & Education Ltd of any reasons for non-attendance and that if I fail to notify Handz on Training, Therapy & Education Ltd of my reasons for absence, after 4 consecutive absences I will be withdrawn from the course without any refund and any monies owing will still need to be paid.
The information included on this form is true and accurate to best of my knowledge..


By clicking submit you are agreeing to the terms and conditions listed above