TRAINING & COURSE BOOKING FORM
Please apply as soon as possible to avoid disappointment. Applications can be accepted up to the start
of a course (subject to place availability)
Please complete as much of the form as possible. Fields marked with an asterisk (*) are mandatory
Full Name:
Job Title:
Organisation:
*
Contact Address:
*
Postcode:
Invoice Address
*
(if different from above)
Telephone:
Email:
Date of Birth:
Course Title:
Course Date:
Specific Requirements:
To help us ensure that all delegates attending are able to participate fully, please give us details of
your specific requirements
Booking Details:
Payment Method:
Cheques made payable to Crisis
Cancellation Policy:
Cancellations up to 3 weeks before course will receive full refund less £10.00 admin costs. After this time cannot be
refunded but substitute delegates are acceptable at a minimum of ten days notice
Registered Charity Inland Revenue No.809/78901/01482A
Registered Charity Scotland SCO27620
Please return form to: Crisis, Riverside House, Old ferry Road, Erskine, PA8 6AX
Email : Info@crisiscounselling.co.uk