Enrolment Form - Reflex First Aid Training

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Courses
Which course do I need?
News
About
- Sectors
Testimonials
Contact
- Enrolment Form

Enrolment Form

If you wish to book an open course please fill in this enrolment form. If you wish to make a private workplace course booking please contact Sorrel:

To book or enquire about a course please contact Sorrel:

Email: sorrel@reflexfirstaidtraining.co.uk
Phone/WhatsApp: 07591 049188

or fill in the enquiry form.

Course Details

Which Course?(Required)

Emergency First Aid at Work (EFAW)

First Aid at Work (FAW)

First Aid at Work Requalification (FAW)

Date(Required)

Candidate Details

Name(Required)

Prefix First Last

Email(Required)

Date of birth(Required)

DD slash MM slash YYYY

Gender(Required)

Male

Female

Gender neutral

Prefer not to say

Organisation/Employer Details (if applicable)

Organisation/Employer:(Required)

Name of lead contact:

Email

Telephone

Emergency Contact Details

Name

Telephone

How reflex first aid training use your data

By completing this form, you agree to Reflex First Aid and Training Limited processing and storing your personal data for the purpose of fulfilling our contract to provide you with your award or qualification. We promise your personal data will only be used by Reflex First Aid and Training. We will keep your data safe and will never share it with other organisations. If you would like further information, please request our privacy policy by emailing sorrel@reflexfirstaidtraining.co.uk

Specialist Learning Requirements

Do you have any specialist learning requirements?(Required)

Yes

No

Do you have a disability / medical condition?(Required)

Yes

No

If you have answered yes to either of the above, please provide further details below on how we can assist with your learning:

Declaration

I declare that all of the information I have provided on this enrolment form is true and accurate. I understand that if I have failed to declare any specialist learning requirements at this stage, this may impact my ability to successfully complete the course and gain the qualification. 2. I declare I have read, and agree to the terms and conditions of Reflex First Aid Training.(Required)

Please tick if you agree

1 Birch Hill, Cheddar,
Somerset, BS27 3JP

Phone: 07591 049188

Email: sorrel@reflexfirstaidtraining.co.uk

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Reflex First Aid Training Limited. Registered in England and Wales. Company Number 13904970

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