Surrey County Council - PE and School Sport Teacher Training Form

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Event details
Location:	Positive Play- Mytchett Primary School, Hamesmoor Road, Mytchett, Camberley, Surrey, GU16 6JB
Date:	20/03/2019 - 20/03/2019
Time:	08:45 - 12:00

Data Protection Statement: Active Surrey is the County Sports Partnership for Surrey, hosted by Surrey County Council. Below explains how we will use any personal information we collect about you, as required under the General Data Protection Regulations (GDPR). Your personal data will be used by Active Surrey for the purpose of delivering this course or event. This will include sharing your name and school details with the workshop deliverer. Sensitive data will be anonymised, or pseudonymised, wherever possible and will be used for statistical purposes only. All personal data is captured and held on secure servers run and protected by Active Surrey's hosting organisation, Surrey County Council. Please visit the Teacher Training pages of the Active Surrey website to read our full privacy policy.

First Name *

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Email *

Attendee details

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Please complete attendee fields marked * for each place you are booking.
You can book up to a maximum of 5 places at a time on this event.

Attendee 1

Select price *

Name *

Participant Email Address *

Participant Contact Telephone Number *

Contact number for course queries. No spaces between digits e.g. 01483518944

School's Full Name *

School Post Code *

Finance Contact Name (for Invoicing) *

Finance Contact Email Address (for Invoicing) *

Is your School an Academy? *

Participant's Job Title *

Gender *

Ethnicity *

Do you consider yourself to have a disability? *

If yes, do you have any access or learning needs?

How did you hear about this course? *

Booking Conditions *

Your contact details will be securely stored on the Active Surrey database. Do you want to receive information from Active Surrey in the future regarding further courses and school related content? *

Attendee 2

Select price *

Name *

Participant Email Address *

Participant Contact Telephone Number *

School's Full Name *

School Post Code *

Finance Contact Name (for Invoicing) *

Finance Contact Email Address (for Invoicing) *

Is your School an Academy? *

Participant's Job Title *

Gender *

Ethnicity *

Do you consider yourself to have a disability? *

If yes, do you have any access or learning needs?

How did you hear about this course? *

Booking Conditions *

Your contact details will be securely stored on the Active Surrey database. Do you want to receive information from Active Surrey in the future regarding further courses and school related content? *

Attendee 3

Select price *

Name *

Participant Email Address *

Participant Contact Telephone Number *

School's Full Name *

School Post Code *

Finance Contact Name (for Invoicing) *

Finance Contact Email Address (for Invoicing) *

Is your School an Academy? *

Participant's Job Title *

Gender *

Ethnicity *

Do you consider yourself to have a disability? *

If yes, do you have any access or learning needs?

How did you hear about this course? *

Booking Conditions *

Your contact details will be securely stored on the Active Surrey database. Do you want to receive information from Active Surrey in the future regarding further courses and school related content? *

Attendee 4

Select price *

Name *

Participant Email Address *

Participant Contact Telephone Number *

School's Full Name *

School Post Code *

Finance Contact Name (for Invoicing) *

Finance Contact Email Address (for Invoicing) *

Is your School an Academy? *

Participant's Job Title *

Gender *

Ethnicity *

Do you consider yourself to have a disability? *

If yes, do you have any access or learning needs?

How did you hear about this course? *

Booking Conditions *

Your contact details will be securely stored on the Active Surrey database. Do you want to receive information from Active Surrey in the future regarding further courses and school related content? *

Attendee 5

Select price *

Name *

Participant Email Address *

Participant Contact Telephone Number *

School's Full Name *

School Post Code *

Finance Contact Name (for Invoicing) *

Finance Contact Email Address (for Invoicing) *

Is your School an Academy? *

Participant's Job Title *

Gender *

Ethnicity *

Do you consider yourself to have a disability? *

If yes, do you have any access or learning needs?

How did you hear about this course? *

Booking Conditions *

Your contact details will be securely stored on the Active Surrey database. Do you want to receive information from Active Surrey in the future regarding further courses and school related content? *

If you have completed all the fields marked *, then please click "Submit".

PE and School Sport Teacher Training Form

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