Power of Self-Esteem
Registration Form
Sign in to Google to save your progress. Learn more
Data Protection
In line with data protection Law (2019) 4Integrity Ltd is registered with the ICO (Information Commissioner's Office). It is a requirement that your consent is obtained to hold your personal information.
By completing and returning this registration form you give consent for your personal details to be held for the purposes of this course and further communication regarding courses that may be of interest to you.

Course Details
5 Saturday Mornings
24th April to 22nd May -  9.30am to 12.30pm

Location;
Harlow Community Wellbeing Centre
Pollards Hatch, Kingsmoor Road, Harlow CM19 4LA

Course facilitators;
Nicky Needham & Jacki Robertson  

This is a 5 x 3-hour session course led by Licensed Facilitators   CPD Registered
SEE Course
Name *
Email address *
Telephone Number *
Address *
Age *
Have you taken the More to Life Weekend?
Have you taken any of these courses?
To secure my place I will pay *
PAYMENT METHOD
Please make payment to;

4Integrity Ltd
Account No. 33740846
Sort Code 20-45-45             Use  reference as the course start date followed by initials     24/4/21 ** (initials)

SWIFTBIC - BUKBGB22
IBAN - GB45 BUKB 2045 4533 7408 46
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy