PLEASE COMPLETE THIS FORM IN THE PRESENCE OF THE ACTIVITY CENTRE STAFF.
Date*
Activity*
Your name*
Name of activity centre staff member*
Email address of activity centre staff member/head office (if copy is required)
Number of staff/group leaders* PLEASE ONLY COUNT THE NUMBER OF STAFF PARTICIPATING
Number of students*
Number of students taking part* PLEASE ONLY COUNT THE NUMBER OF STUDENTS PARTICIPATING
Additional notes
Provide your details and we will contact you with details of the FREE online course.
Preferred course* Pre intermediate: 15th-19th MarchIntermediate: 22nd-26th March
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