National Leaders Training Booking Form Which course are you booking on to? * Please only pick one. If you'd like to book onto multiple courses, please complete a separate booking form for each course. I'm The Girl I Want To Be Made of More Organisation Name * Organisation Overview * Please give a brief description of the work your organisation does. How does this programme fit within your project? * Please tell us how you envision this resource will fit within your organisation or project? eg within local schools, community outreach etc. Name of person within the organisation to whom you are responsible to... * First Name Last Name Their position or job title... * This organisation has a suitable child protection policy to cover safe delivery of this resource. * Please confirm Yes No Each delegate (named below) has a valid and suitable DBS for working with young poeple. * Please confirm Yes No Practical Needs Please indicate any special needs for the training days in relation to physical, medical, educational support... Organisation Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Email * For enquiries relating to this booking and where the invoice should be sent. Course Delegates Who are you sending to be trained? How many delegates would you like to book training spaces for? * 1 2 3 4 5 6 More than 6 Name of Delegate 1 * First Name Last Name Position within the organisation * e.g. Support worker, Teacher, Volunteer, Youth worker Email Address * Contact Number on the day * Required for practical and emergency arrangements, if needed, during training. We will not store this information after the course. Name of Delegate 2 First Name Last Name Position within the organisation e.g. Support worker, Teacher, Volunteer, Youth worker Email Address Contact number on the day Required for practical and emergency arrangements, if needed, during training. We will not store this information after the course. Please add the same information for other delegates here Course Costs The standard training course package costs £700 per organisation (includes training pack and places for 2 delegates). Additional delegates can be booked at £250 per place. (Please note: Additional places do not include ‘take home’ resource packs or leaders guides. These can be purchased separately.) This booking is eligible for charity discount* (10% off) I am sending more than 2 delegates at £250 per place. We already have a valid licence and training pack and are only training additional delegates at £250 per place. Invoice Details * Please provide the name the invoice should be made out to and the amount you expect it to be. A deposit will be required and the balance will be due 2 weeks before the training course and payable by cheque or BACS. Declaration. * I confirm that the above information is true and attendance on the Golddigger Trust National Training Course has been authorised by Line Manager/Governing Body. I confirm that I have read accompanying information, including licensing terms and conditions. Signed (Organisational Representative) First Name Last Name I give permission for Golddigger Trust to securely store the information provided in this form to administer the training course and ongoing communication while the licence is in use. I understand Golddigger Trust will provide me with relevant support, to send me resources related to my support, and to contact me about any ongoing or future activities with Golddigger Trust. Thank you!
