Breastfeeding Peer Supporter Training

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This form is for you to register for the Breastfeeding Peer Supporter Training. Please answer all the questions as best you can. I will be in touch with you separately upon completion of the form. By completing the form you are agreeing to share this information with me.

Email *

Name *

Address *

Mobile Number *

Have you ever breastfed? *

Have you ever done any other breastfeeding training? Please explain *

What are you hoping to do after completing the breastfeeding peer supporter training? Please state if you are looking for knowledge, volunteering opportunities or paid work etc *

Which session would suit you best to attend? Please note that this is not confirmed until you have confirmation. *

Saturday 10th and 17th october - 9.30 to 1pm.

Wednesday 4th and 11th November 2020 - 7pm - 10.30pm EVENING

Sunday 6th and 13th December 2020 - 7pm - 10.30pm

Required

Do you agree to attending both sessions? *

Yes

Do you understand and agree that resources accessed via the EBM Members password protected page is for your own private use as a peer supporter? *

yes

Do you agree to pay the fee of £75? please note places are only secure once booking form and payment are received? Resources and handouts will be available via a password protected BPS page after the training? *

Yes - i understand

Do you agree to confidentiality within the group training? *

Yes

Do you agree to complete additional competency tasks for certification? *

Yes - i understand and agree this is a requirment.

Do you consent to joining a delegate peer supporter whats app group? *

Yes

Cancellation of bookings; Please see information on this on the main practitioner page. If for any reason the study day is cancelled you will be offered a full refund will be given or you can be transferred onto the next course. Once payment and booking form has been received you will receive confirmation of your booking. (deposit refund is only available 14 days after booking) Please note: Places are limited per workshop. *

I agree

A copy of your responses will be emailed to the address you provided.

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