Enrolment form for any Mindmaps Wellbeing training courses

Mindmaps Wellbeing Course Enrolment Form

First Name:

Last Name:

Known as:

Pronoun:

email:

Billing information (if different) Click here to complete.

Contact name:

Phone:

Billing email:

Billing address:

Additional information:

Phone:

Organisation:

Position:

Course:

Post code:

Mailing Address:

Comments / Reference:

Day one:

Day Two if applicable:

Please pick your course dates in preference order, if this is only an enquiry at this stage please pick a date you would consider.

Courses are available for delivery Monday to Friday. Weekends only available under a pre-arranged agreement please contact us directly to discuss this option.

Additional information / Accessibility Requirements:

Please confirm:

This is to confirm you are happy to receive emails / calls from Mindmaps Wellbeing regarding our products and services, relevant for you.

To book multiple learners on a courses please spreadsheet.