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Name
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First Name Last Name
Address
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Street Address Address Line 2 Town County Postcode
Email
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Phone
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I am attending (please tick all that apply)
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Organisation Name
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Organisation Organisation Address
I wish to attend
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Please tick all that apply
Reasons for attending
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Please say a little about what you hope to learn or your own circumstances. This information will be shared with the course tutor and will help to inform the detail of the course
Additional Support
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Do you need any additional support to allow you to fully engage in the sessions?
Privacy Notice
Your details are stored in line the GDPR (General Data Protection Regulation) and DPA 2018 (Data Protection Act).
This means that the details you have provided above will be held only so long as needed, and only for the purpose for which they have been provided. We will never sell your data and we promise to keep your details safe and secure. If you would like to have your details removed from our records, or you wish to check how your data is used and stored please call 01695 726269 or email admin@swlican.org

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