MHFA booking form

Copy, paste, fill in and return. ThanksMental Health First Aid Initial enquiry form

Please return the completed form to

Attendee details:

Contact name:
Telephone number:
Email address:


Invoice details if different to above:

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


Which type of course are you interested in?  Is it for you as on individual or are you making a group enquiry?





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?














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 ( and are only valid once receipt has been confirmed. Payment must be received at least 14 days prior to the course starting.


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