1 Customer and contact details

Company name

Contact person

Email address

Phone number

Purchase order / reference, if applicable

Accounts email, if different

Postal address

Address line 1

Address line 2

Town / city

County

Postcode

Country

Billing address Same as postal address

Address line 1

Address line 2

Town / city

County

Postcode

Country

2 Training venue

Venue address

Same as postal address Same as billing address

Venue address line 1

Venue address line 2

Town / city

County

Postcode

Country

Training room name / number

Building name, if applicable

Training-room flooring

Will temporary protective flooring be needed?

Yes No Unsure

Flooring details, if applicable

Brief access instructions

3 Venue access, room and parking

Is the training room on the same floor as the building entry door?

Yes No

Details, if no

Are working plug sockets available in the training room?

Yes No

Details

Can the instructor park next to the training-building entrance to unload and reload equipment?

Yes No

Details, if no

Is free parking available for the instructor for the full day?

Yes No

Details

Person the instructor should report to on arrival

Their mobile number

4 Course requirements

Course qualification – select one

Vocational Technical Qualification (VTQ) Regulated course (TQUK RQF)

Course date 1

Course date 2

Course date 3

Course date 4

Course date 5

Expected learners per day

Maximum 12 learners on each course day.

Multi-day booking notes

Any learner, access or site information we should know before confirming

Select one course-time option. This option will apply to all selected course dates unless you state different arrangements in the multi-day booking notes or additional notes. The instructor arrives 60 minutes before the course for unloading and setup; registration starts 15 minutes before the course. Pack-away begins after the course and normally takes up to 60 minutes.

Option	Instructor arrival	Setup	Registration	Course time	Pack-away	Instructor departs
1	06:30	06:30–07:15	07:15	07:30–14:30/14:45	14:45–15:45	15:45
2	07:00	07:00–07:45	07:45	08:00–15:00/15:15	15:15–16:15	16:15
3	07:30	07:30–08:15	08:15	08:30–15:30/15:45	15:45–16:45	16:45
4	08:00	08:00–08:45	08:45	09:00–16:00/16:15	16:15–17:15	17:15
5	08:30	08:30–09:15	09:15	09:30–16:30/16:45	16:45–17:45	17:45
6	09:00	09:00–09:45	09:45	10:00–17:00/17:15	17:15–18:15	18:15

Other time, subject to agreement

Instructor arrival

Registration

Course time

Instructor departs

5 Customer confirmation

Completed by

Position

Date

Submission date

Submission time

Additional notes / special instructions

I confirm that the information supplied is accurate and that the agreed room, access, power and parking arrangements will be available on the course date. I consent to Fundamentally First Aid Ltd using the information supplied to assess, arrange and communicate about this booking request.

Before submitting

Please check the proposed date, qualification, course-time option, venue access and arrival-contact details.

Submitting this form sends a booking request. It does not create a confirmed booking or guarantee the proposed date; the booking is confirmed upon payment of an issued invoice by Fundamentally First Aid Ltd.