Course Booking Form

Doncaster Brief Interventions & Alcohol Awareness Training - Booking Form

Venue Date/s

About You

Your Name

As you would like it to appear on your certificate

Address for correspondence

Telephone
Mobile
Postcode

Email Address

Please ensure this is spelled correctly

Organisation Job Title
Catchment Area

You must be a worker or a resident of one of the designated areas to be eligible for this training, please see website for more info

How would you like us to contact you? (please ensure your chosen method is completed correctly above)

Post Email Phone SMS Text

Anything else you want us to know? (learning needs, access issues, dietary requirements etc.)

Before submitting this booking form please read the Terms and Conditions which can be found at www.drugtrain.org.uk/Donct&c.html

I have read and agree to the terms and conditions
I have my managers permission to attend this training (if applicable)