MHFA booking form

Copy, paste, fill in and return. ThanksMental Health First Aid Youth – 2 day       Booking form

Please return the completed form to diamond.key@btinternet.com

Attendee details:

Contact name:
Organisation/company:
Telephone number:
Email address:

 

Invoice details if different to above:

Contact name:
Address
Telephone number:
Email address:
Purchase order attached Yes/No please delete

 

Please tick one date you wish to attend:

Please note you must attend both dates stated in the box 

Contact (diamond.key@btinternet.com) for upcoming dates

 

   

 

 

 

 

 

 

In order to best support the needs of you, as a learner, please answer the following questions:

Do you have any learning needs that the facilitator should be aware of? Yes/No (please delete) – If yes please give details

 

 

 

Do you have any physical disabilities we should be aware of? Yes/No (please delete) – If yes please give details

 

 

 

 

 

 

Please help us to ensure we tailor the course to your needs by telling us a little bit about yourself and experiences:

 

What is your current understanding of mental health?

 

 

 

 

 

 

 

 

 

 

 

 

Please tell us as much as you feel comfortable to share about your personal or professional experience of mental health.

 

 

 

 

 

 

 

 

 

 

 

 

Cancellation policy:

 

CANCELLATION POLICY – If I cancel within 1 month of the first date of the course, Positive Energy Being reserves the right to charge 50% of the delegate’s fee. I understand that if I cancel within two weeks, do not attend, or do not complete the training programme, I will be charged at the full rate. Cancellations must be sent in writing to Positive Energy Being (diamond.key@btinternet.com) and are only valid once receipt has been confirmed. Payment must be received at least 14 days prior to the course starting.

I understand there is a £220 charge for the course. I have read, understood, and agreed to abide by Positive Energy Being’s cancellation policy.

 

Name: ……………………………… 

Signed:………………………………                 Date:…………………………………