Please complete this form to book a place on the Emergency First Aid at Work Training. Please complete one form for each person attending.
PLEASE NOTE: Payment is due within 7 days of booking and the place is only confirmed once we have received payment. Places are limited so please book and pay early.
Organisation *
Which district(s) do you work in?
BromsgroveMalvern HillsRedditchWorcester CityWychavonWyre ForestOutside of Worcs
Email *
First and last name of learner *
Email address of learner (if different from above)
Telephone number of learner (will only be used to contact about the training) *
Photo consent * During the training session photos may be taken and used for the purposes of project reporting and publicity. Please confirm:
Learner is happy for their photo to be usedLearner does not consent to their photo to be used
Which course date are you booking on? *
Tuesday 4th February, 6.15-9.45pm, KidderminsterSaturday 1st March, 10am-2pm, Worcester
Is learner from a Young Solutions member? *
Yes (course costs £10)No (course costs £25)
How are you paying for the course? * Please note, places are not confirmed until payment is received.
BACS Payment (Young Solutions, Account No: 20194035, Sort Code: 60 83 01, use ref: EFAW+Org. Name)Debit or credit card (go to www.youngsolutions.org.uk/about-us/card-payments)InvoiceOther
Please select if you need:
an invoicea receipt
Email address for invoice (if different from above)
A copy of your responses will be emailed to the first email address that you provided. Submit
