Training Course Booking Form

Course name*

(If on a pc or laptop, hold down ctrl to select more than 1 course)

First name*

(Please complete one form per person wishing to attend)

Surname*

Email*

Phone number*

Organisation*

Area*

Please tick if this organisation is a Member Group

Sector

Your role

How did you hear about this course

Other

Please specify any additional needs that you have that would need to be addressed in order for you to attend this session.

Please tick here if your manager has granted permission for you to attend this course?

Please tick here if you give permission for your photo to be taken during the training session and used for LAYC marketing purposes.

Emergency contact*

(Please include line manager's name and phone number incase of emergency during session)