COURSE APPLICATION FORM

							                                    COURSE APPLICATION FORM
Title:                  ____________________________
First Name:             ____________________________
Surname:                ____________________________
D.O.B:                     /    /
Address:                _________________________________
                        _________________________________
Postcode:               _____________________
Tel:     Daytime:       _________________ Evening: ________________ Mobile: ______________
Email:                  _________________________________

Please select your chosen course
RLSS T/A Full Course                    Unit 1           ISRM Unit 2             RLSS NPLQ
RLSS NRASTC                             ISRM NPLQ Trainer Assessor Unit 2
ISRM PPO Foundation                     ISRM PPO Certificate             ISRM RoPPPs
HSE Emergency First Aid at Work Certificate
Course Start Date:                                  /    /

I will forward a cheque (payable to L.C.C.) for £ __________
Please Invoice:                         _____________________________________
Order Number:                           _____________________________________
Company Contact Name:                   _____________________________________
Address:                                _____________________________________
                                        _____________________________________
Postcode:                               _____________________
Tel:                                    _____________________

                                                  Terms and Conditions
Payments
    Payment must be received prior to the course commencing.
    Candidates will be liable for payment once the booking form has been received.
    A 25% non refundable deposit is required at the time of booking to secure your place.
Cancellations
    The College reserves the right to cancel a course e.g. if under-subscribed. In such circumstances a full refund
        will be made or a free transfer to another suitable course offered.
    Candidates may cancel their place in writing before their course commences, but refunds will only be issued
        based on the following notice periods given:-
        More than 28 working days before - Full refund.
        14-28 working days before - 50% of the fee will be refunded.
        Less than 14 working days before - No refund.
     Please note: This condition does not apply if you have a doctor’s sick note.(Please attach a copy to your letter.)
Substitutions
     May be made at any stage at no cost.
Course Information
     Relevant course information will be sent approximately 10 days prior to the course start date.
     Occasionally, due to circumstances beyond our control, changes to timing and course content may be
        necessary.


                  I agree to the terms and conditions stated above
                  Signed__________________ Date______________