Take 3 Training Booking Form : South Wales (Porthcawl) Dec/Jan 15/16 Training Dates : 3rd, 9th, 10th December & 14th January Name: Job Title (if relevant): Address (and organisation, if relevant): Postcode: Email: Telephone (please include a mobile no.): Any special requirements: I wish to attend (please tick as appropriate): [ ] 4-day training @ £460 (includes 1-day workshop) [ ] 3-day training @ £360 (standard accredited training) [ ] 1-day workshop @ £125 (I have already attended the 3-day training Y/N) Other costs: [ ] Submission of Accreditation Portfolio @ £45 [ ] Purchase of Take 3 Pack @ £135 [ ] Loan of Take 3 Pack @ £15 (N.B. Each participant will need access to a Take 3 pack for the training. Copies are available for loan @ £15 each and must be returned at the end of the training) Please invoice me/my organisation for the sum of…………………………………………………….. Invoice address (if different from above) : Signed: Date: Please return form by e-mail by 22nd OCTOBER 2015 Email: booking@take3parenting.co.uk Telephone enquiries: 01865 374910 / 07789 060421 (Please see over for cancellation charges) Cancellation charges Weeks notice Fee Less than 4 weeks Full fee payable 4 – 8 weeks 50% fee payable More than 8 weeks No fee payable