Course Booking Form

If you would like to book on to one of our courses please complete the following registration form:

Course Booking

PART ONE - Course Booking:

Please state the course you would like to book on:

PART TWO - Personal Details:

ULN (Unique Learning Number - this will be a 10 digit number, if known):

First Name(s)*:

Last Name*:

Gender*:
 Male Female

Date of Birth* (dd/mm/yyyy):

Home Address Line 1*:

Home Address Line 2:

Town*:

County*:

Postcode*:

Home Telephone:

Work Telephone*:

Mobile*:

E-mail Address*:

Confirm E-mail Address*:

PART THREE - Support for Learning (by giving this information you will not be affecting your chances of a place on the course in any way):

Do you require learning support:
Yes No 

If yes please provide further details:

*Please state any medical conditions (e.g. Epilepsy, ME, Diabetes):

PART FOUR - Ethnic Origin:

Are you?:

PART FIVE - Diversity Monitoring:

Please state whether you are:

PART SIX - Invoice Details:

Invoicing Name*:

E-mail Address (to send invoice to)*:

Site Address Line 1 (to send invoice to)*:

Site Address Line 2:

Town*:

County*:

Postcode*:

PART SEVEN - Learners Agreement:

 Learner's Declaration - By ticking this box you agree to the following:

The personal information you have provided will be processed by Sign On! BSL Training and Consultancy for the purpose of providing educational and related services. The information may be disclosed to specific third parties such as IBSL, the awarding organisation when relevant.

I agree to Sign On! BSL Training and Consultancy processing personal data contained in this form, whilst I am a learner. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any other legitimate reason

Disclaimer

Sign On! BSL Training and Consultancy does not accept any liability for any accident, loss, injury or death howsoever caused to any person, property or vehicle incurred as a result of attending this course, except as required by law.
Learner’s Declaration

I declare to the best of my knowledge that the information I have given is correct and that should my circumstances change I will inform Sign On! BSL Training and Consultancy immediately.

Please Note: Under General Data Protection Regulation (GDPR) Sign On! BSL must state that the information you submit via our contact form will only be used to respond to your enquiry and subsequent enquiries you may have with us. Please be assured that you will not be added to any marketing mailing lists. Our Privacy Notice is available here.