Training courses

Course summary


Course	Level 2 Certificate in Coaching Orienteering
Date	Sat 14th Oct 2017
Time	TBC
Date	Sun 15th Oct 2017
Time	TBC

Cost	£540.00
Payment method	Online

Venue	Mendio Outdoor Pursuits Centre
Address	Lyncombe Drive, Churchill, North Somerset
Postcode	BS25 5PQ

Please complete the following form to book a place on the course detailed in the Course Summary

Forename *

Surname *

Known as name

British Orienteering membership number (if applicable)

Association

Club

Gender *

Date of birth *

Address *

City *

Postcode *

Telephone no. *

Mobile telephone no.

Email address *

I would describe my ethnic origin as

Do you consider yourself to have a disability? *

What is the nature of your disability

Is wheelchair access required?

Emergency contact *

Emergency contact's telephone *

Any medical conditions, treatment, medication, allergies or any other relevant information? (E.g. must carry inhaler at all times, takes tablets daily, hay fever sufferer etc.)

Any special dietary requirements?

I am happy for my name and contact details to be distributed to other attendees on the course for the purpose of assisting with the sharing of transport

Orienteering experience (e.g. For UKCCL1 candidates must have the ability to demonstrate skills to level 4 / light green.) You will be expected to bring along evidence for your portfolio, e.g. print out of results

Summary of other relevant awards held: (e.g. First aid, coachinh awards in other sports) You will need to bring along a copy of your first aid certificate for your portfolio

Other relevant orienteering expreiences (if any)

State why you would like to complete this qualification or attend this course/programme; this helps the Course Tutor to run the course to meet the individual learners needs

DECLARATION: I give my permission to those in charge to take the appropriate action should there be a need for me to receive medical/dental treatment in case of an emergency on the course. *

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