Leaders Award Organisers Request Form

First Name (required)

Surname (required)

Organisation Name (required)

Contact Phone Number

Email Address (required)

Venue Name (required)

Venue Address including postcode (required)

Full invoice address (required)

Preferred Course Date (required)

Second Course Date Option (required)

Third Course Date Option (required)

Course Start and End Times (required)

I permit the processing of my data in line with organising this event and permit my details to be shared with the course tutor for them to contact me directly. (required)

Yes

This course is delivered in Partnership with Sport Structures and by submitting the form you consent to your details being passed to Sport Structures for the purposes of the Boccia Leaders Award only. (required)

Yes

I declare that the venue and equipment as described in the Operations Guide will be in working order, accessible and available for use on the day of the course. (required)

Yes

I understand that it is my responsibility as the course organiser to recruit the course delegates. (required)

Yes

Where did you hear about this course? (required)