Training Registration Form

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Training Registration Form

Disability Action is committed to providing high quality training. To enable us to meet your training needs please provide us with the following information.

If you require any further information, please contact Disability Action on Telephone: 028 9029 7880, Textphone: 028 9029 7882 Email:hq@disabilityaction.org

*All fields marked with this asterix must be completed.

1. Contact Details

Contact Details for person booking training

2. Course

Select from the list below the training course you wish to book*:

3. How did you find out about the training course*?

How did you find out about the training course*?

If ‘other’ please specify:

4. Why do you want to do the training course*?

5. Numbers

How many people require training*?

6. People

List the names and job titles of everyone who requires training*.

Name, Job title (if available)

7. Organisation

Which category best describes the people or organisation registering*:

If ‘other’ please specify:

8. Disability

Do any of the participants have a disability?*

If yes, to help us make appropriate arrangements for training, please advise what additional support will be required?

If papers are required in an alternative format, please specify:

If ‘other’ support is required, please specify:

9. Familiarity

How familiar are participants with the subject to be covered by the training?*

10. Language

Is English a second language for any of the participants?*

If yes, will translation into their first language be required?

If yes, please specify the language the translation is required in:

Cancellation*

Read Disability Action’s cancellation policy


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