Booking Form

Contact Information

Full Name *

Email Address *

Contact number *

Organisation name: *

Course

Please select the course you wish to book on:

Safeguarding & Protecting Children 21st May 2018 £35pp

Payment

Please send a cheque (made payable to Cumbria County Council) with the course name on the reverse for the attention of:

Michelle Young, Active Cumbria,
Cumbria House, Botchergate,
Carlisle CA1 1RD

Or provide full billing details including address, postcode, contact name, email and number for invoicing.

Details