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EMPOWERING SAFETY - BOOKING FORM

Please fill out the form below to book your place.

Can you provide the following information in the comments box:

  1. Name and telephone number of a parent, guardian or relative as an emergency contact
  2. Details of any Health conditions or Disabilities
  3. Do you have any dietary requirements?
  4. Date of birth and Ethnic Origin

This information is required to comply with for Health, Safety and Equal Opportunity regulations. Thank you for your cooperation.  

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Thank you! For your interest in the Empowering Safety Program. We will be in touch shortly to confirm your registration Your information has been submitted successfully. We will confirm your booking by sending you an E.Ticket Kind Regards Empowering Safety Initiative

FOR FURTHER INFORMATION CONTACT US:


MOB:  07984 687 143         Twitter:  @RISEMP


EMAIL: [email protected]  or  [email protected]


RISE! EMPOWERMENT

If you would like to know more about our achievement coaching and employability skills workshops visit the RISE! Empowerment website

THANK YOU FOR VISITING!