Please complete a separate form for each course you wish to attend.
Personal Details
TITLE
Mr
Mrs
Miss
Ms
FIRST NAME
SURNAME
ADDRESS
TOWN
POSTCODE
TELEPHONE
MOBILE
EMAIL
Do you have any special requirements?
Employment details (If applicable)
Course Details
Four day Instructor Course
Date - please select
16/17/18/19 February 2010 (Stafford (The Kingston Centre))
22/23/24/25 February 2010 (Sussex)
1 / 2 / 3 / 4 March 2010 (Lincolnshire)
13 / 14 / 20 / 25 March 2010 (Northamptonshire)
15 / 16 / 17 / 18 March 2010 (FULL (Wolverhampton))
22 / 23 / 24 / 25 March 2010 (Lincolnshire)
26 / 27 / 28 / 29 March 2010 (Norwich)
20 / 21 / 27 / 28 April 2010 (Wolverhampton)
6 / 7 / 13 / 14 May 2010 (Stafford - Tillington Centre)
8 / 9 / 15 / 16 June 2010 (Wolverhampton)
5 / 6 / 12 / 13 July 2010 (Wolverhampton)
26 / 27 / 29 / 30 July 2010 (Birmingham (Billesley Tennis Centre))
14 / 15 / 21 / 22 September 2010 (Wolverhampton)
12 / 13 / 19 / 20 October 2010 (Wolverhampton)
16 / 17 / 23 / 24 November 2010 (Wolverhampton)
14 / 15 / 17 / 18 February 2011 (Birmingham (Billesley Tennis Centre))
Various Jan-Dec 2010 (Sandwell (Waiting List))
Assistant Instructor Course
Date - please select
18/19 February 2010 (Derby)
17/18 March 2010 (Solihull)
19 / 20 April 2010 (Birmingham (Billesley Tennis Centre))
27/28 April 2010 (Wolverhampton)
21 / 22 October 2010 (Birmingham (Billesley Tennis Centre))
Instructor Trainer Training Course
Date - please select
27 - 28 January 2010 (Wolverhampton)
Special Educational Needs
Date - please select
3 February 2010
23 April 2010
16 June 2010
First Aid
Date - please select
23 March 2010 (Sandwell Park Farm, West Bromwich)
10 May 2010 (Wolverhampton)
Cycle FIT
Date - please select
8 March 2010 (Wolverhampton (Aldersley High School))
22 March 2010 (Wolverhampton (Aldersley High School))
12 April 2010 (Wolverhampton (Aldersley High School))
26 April 2010 (Wolverhampton (Aldersley High School))
10 May 2010 (Wolverhampton (Aldersley High School))
24 May 2010 (Wolverhampton (Aldersley High School))
Off Road Training
Date - please select
4 February 2010 (FULL (Wolverhampton))
30 March 2010 (FULL (Wolverhampton))
26 April 2010 (Wolverhampton)
Cycle Maintenance Level 2
Date - please select
29 March 2010 (Wolverhampton)
19 April 2010 (Wolverhampton)
17 May 2010 (Wolverhampton)
Costs
Once we receive your provisional booking request we will contact you regarding costs and the availability of any bursaries/funding. At this time we will also discuss deposits and how to pay. Until such time your booking is not confirmed. Once payment is secured full confirmation will be sent.
I HAVE READ AND UNDERSTAND THE
BOOKING CONDITIONS
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