Workshop Booking Please contact us prior to completing the form if you have any questions about the workshops. * indicates required Workshop Information IMPORTANT: A payment is required for this workshop, and you will be taken to a secure payment page on completion of this form* I understand and agree to make this payment onlineI cannot make this payment online - (please contact us directly on 01626 333 346 to discuss options before completing the application form) Workshop Name* Please Select Your Details Name - This is the name that will appear on any workshop certification* Street Address* Town/City* County Postcode* Date of Birth* Email* Phone Number* Emergency Contact Emergency Contact - Name* Emergency Contact - Number* Emergency Contact - Relationship to you* Other Details or Message On submission you will be taken to a page where you will be able to pay for the workshop, once your deposit is received your place on the workshop will be secured. If you cannot make this payment online please contact us directly on 01626 333 346 to discuss payment options after completing the application form.