Sept 2022 Wild Passport Level 3 Training Application form
This Complete Training pathway is aimed at those who have little or no prior experience of delivering woodland skills or outdoor learning programmes to learners. It is a four day course designed to instill WILD Passport leaders with the full suite of skills necessary to deliver an effective long term programme. Ideal for teachers, youth group leaders and home educators

Please reserve me a place on the Wild Passport level 3 training course to take place in Andover on the dates below. I understand my place is not confirmed until payment has been made to the account details given below. If a company invoice or receipt is required, please complete section 3 below.

Wild Passport Training Dates September 2022

Participants must attend all dates to complete the training. Training timing 9am to 5pm

Mon 12th, 19th and 26th Sept and 3rd Oct (the 10th Oct is available as a contingency if required, weather etc)

Fee:
£550

Payment to be made to:

Coast and Forest Education
Sort code: 60 83 71
Account number: 32951270

Using reference:  Your Surname followed by WPSept22

Cancellation:

Cancellation notices must be received in writing.

1 Cancellation notice of 20 days or less before planned start date: there will be no refund of any fees paid.

2 Cancellation notice made from 21 - 28 days before the planned start date, a charge of 50% of the total cost will be made  

3 Cancellation notice made 28 days or more before the planned date, no further charge will be made for training but an administration fee of £100 will be retained from the deposit monies already paid.  

4 In the unlikely event that COAST AND FOREST EDUCATION cancels the training, the course will be rescheduled and you will be transferred to an appropriate alternative date.

5.   If you WITHDRAW from the course for any reason once the course has started, there will be no refunds

NB:

When entering your email address, take care that this is correct as this is the primary way of communicating directly with you. This should not be the email address of your employer, school office, person paying the invoice (if appropriate) or similar.  You will have the chance to provide us with that information later in the form.  Thank you.
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Email *
First name *
Family name *
Home Address *
Postcode *
Date of Birth *
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DD
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YYYY
Telephone number *
What is your highest level of Accredited Qualification?  
Emergency contact name:   *
Contact number *
Relationship *
GP surgery address and number *
Please inform us of any conditions (including mental wellbeing, allergies, or conditions such as dyslexia, any prescribed medications) *
do you suffer with any of the following; allergies (medication, plasters, stings, food, pollen, please list above) *
asthma or breathing difficulties (inhalers required) *
diabetes *
Epilepsy, fainting or blackouts *
heart condition *
sensory loss (sight, speech or hearing) *
sensory loss (sight, speech or hearing) *
have you received any medical or surgical treatment in the last three months (please add details above) *
Tetanus vaccination in the past ten years? *
Organisation details (when employer funded) Name of Organisation
Address
Postcode *
Telephone number
website
applicants position with above organisation
line manager
Where did you hear of our training? *
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