BOOKING FORM

PLAY MIDLOTHIAN TRAINING COURSE

(Please note that you can book up to 3 delegates per organisation in the first instance)

NAME OF TRAINING COURSE: / Click here to enter text. /
DATE OF TRAINING COURSE: / Click here to enter text. /
DELEGATE 1
FULL NAME: / Click here to enter text. /
DELEGATE 2 (if required) FULL NAME: / Click here to enter text.
DELEGATE 3 (if required) FULL NAME: / Click here to enter text. /
NAME OF ORGANISATION: / Click here to enter text. /
PHONE NUMBER: / Click here to enter text. /
EMAIL ADDRESS: / Click here to enter text.
COST PER DELEGATE (Please select applicable rate):
  • Member rate £25 per person (up to 2 spaces) ☐
  • Member rate £20 per person (3 or more spaces) ☐
  • Non-member rate £50 per person ☐
  • Relevant member rate plusmembership fee to join ☐
(please check our website for rates)
Please note cancelled places will be fully refunded if cancelled more than seven calendar days before the course. Between four and seven calendar days before the course, refunds of 50% will be made. Within three days of the course, no refunds will be made and organisations will still be charged full price if delegates do not attend.
METHOD OF PAYMENT (PLEASE TICK): / ☐
I ENCLOSE A CHEQUE FOR
£Click here to enter text. / ☐
PLEASE INVOICE ME FOR
£Click here to enter text.
WAITING LIST (FOR OTHER PEOPLE WHO WOULD LIKE TO ATTEND AND MAY BE ACCEPTED IF THERE ARE AVAILABLE SPACES): / Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
DO ANY OF THE DELEGATES HAVE ACCESS REQUIREMENTS? (PLEASE DETAIL) / Click here to enter text. /
I give Play Midlothian permission to hold these details for training administration:
I would like to be added to Play Midlothian’s mailing list for updates on Play Midlothian news and events:

Please return this booking form to or in the post to Play Midlothian, 10 Woodburn Road, Dalkeith, Midlothian, EH22 2AT. Thank you!

Scottish Registered Charity No: SC025474