Course Booking Form

SECTION 1 - Course Details

Select course titleMedical & First AidSecurity & SurveillanceSpectator SafetyHealth & SafetyInstructor & Assessor TrainingBusiness Admin & Customer ServiceSafety in Care
Venue:
Date:

SECTION 2 - Learner Details

Your Name:
Your Home Address (inc full postcode):
Your Work Address (inc full postcode) - if applicable:
Your Contact Phone Number (mobile and/or landline):
Your Email:
EOP (Equal Opportunities Policy)
If there is anything that may affect your learning that you feel we should be aware of, please provide details below:

If you have a medical condition that we should be aware of i.e. epilepsy, diabetes etc.. please provide details below:

Date of birth:

Please confirm your gender identity i.e. Male, Female.

SECTION 3 - Payment Details

Please provide the following details to enable us to generate your invoice. You will receive your invoice from finance@gryphonsecurity.co.uk which will require payment on receipt in order to secure your place on the course.
Total amount for course £
Learner Name:
Company Name (if applicable):
Billing Address (if different from learner):
Billing Email (if different from learner):
Billing Contact Number (if different from learner):

SECTION 3 - BANK TRANSFER

Account Name:
Account Number:
Sort Code:
Reference (Your surname and course date):

SECTION 4 - AGREEMENT & SUBMISSION

"I agree to abide by the Terms & Conditions of the course booking process laid out by Gryphon Safety & Security. I accept and understand that a course place will not be considered 'booked' or a place reserved on the system for me until full payment has been received. By ticking the 'I CONFIRM' box below I am confirming that I have read, understood, and accept in full, the Terms & Conditions of booking."

"I CONFIRM"

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