Trainers Workshop Registration Form


Please select the workshop:



Compulsory field

Trainers name:

Title:

First name:

Last name:





Compulsory field

Please enter your email address:


Compulsory field

Please enter your phone number:


Compulsory field

Do you have any special needs (disabilities, health issues, allergies, etc) ?

Yes
No

Trainers Resources

The following training resources will be provided to you:


Name Badge

Your first and last name will be shown on your badge.
If you have a preference for the name on your badge,
please leave a message below.

Name:

Recreational Trainer will show: TRAINER
Competency Based Trainer will show: TRAINER & ASSESSOR
Car Magnet
Size: 292mm x 447mm
Qty: x 2 (pair)

All images are indicative and final product may vary from the picture shown

Additional Resources

Would you like to order any of the following resources:

All images are indicative and final product may vary from the picture shown


Trainer Cards
Cost: $60 (for 250 cards)

Cards will be customised with you name, phone number and email address.

Qty to order:

Details to go on Card:

Name:

Phone:

Email:


Name Badge
Cost: $15.00 each
Plastic badge with magnetic clasp

Qty to order:

Your first and last name will be shown on your badge.
If you have a preference for the name on your badge,
please leave a message below.

Recreational Trainer will show: TRAINER
Competency Based Trainer will show: TRAINER & ASSESSOR

Trainer Shirt
Cost: $30.00 each (was $35)
T-Shirt in blue or white

Qty to order:

Colour:

Size

Some stock and sizes are limited.
You are able to try shirts sizes on the day of the course (and change).

Banner (indoor use)
Size: Wide 760mm x Tall 1830mm (plus frame)
Cost: $150.00 each

Qty to order:

Some variation is design is available.

Car Magnet

Qty to order:

Size

A vehicle normally has two magnetic stickers, one for each door.

Notice: All branded resources are subject to our Brand Licence and terms and conditions. If you cease to be a trainer, you are required to return any branded resource.

Please enter any messages (etc):

I wish to pay the total of my order in the following manner:

Payment Options

Invoice

Credit card

Direct Deposit

Privacy Notice
We respect your privacy. Information collected on this form will be used for the purpose of dealing with the course enrolment. This information may be disclosed to relevant staff, officers, members, suppliers, contractors, affiliates and/or training partners. If your enquiry involves a person or a response from a person, that person may view the information you have provided in order to respond. Please contact us if you do not agree with our privacy policy as we may not be able to process your nomination. You will be able to access this information by contacting our Privacy Officer.

Note: certain information from your computer (including your IP address and other identifiers) will be collected when this form is submitted.

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All courses are subject to our Course Terms and Conditions click here to view a copy of the terms and conditions.