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Autism Outdoors Registration Form

Welcome to the The Outdoors Group Autism Outdoors Registration Form. If you are ready to proceed with your registration please fill out the below form. We will be in contact as soon as possible with any further questions.

PLEASE NOTE: You will be required to sign up to a Direct Debit after submitting the below form to cover the course fees. You have the option of paying in full or signing up to a Direct Debit. A place will only be held once we have received confirmation that you have set up your Direct Debit or paid your fees in full. Alternatively, choose the option for your employer to be invoiced.

If you are unsure whether you meet our course criteria or if you have any questions or concerns about the course, please contact us online before filling out the below form.

Thank you.

Autism Outdoors

     

    Autism Outdoors - Course

     

    Personal Details

     

    Address

     

    Contact Details

     

    Marketing / Communication Preferences

     

    Employment

     

    Current Employment:

     

    What is your ethnic Group

     

    Nationality

     

    Do you have any special Requirements?

     

    Payment and Invoice Details

     

    Declaration

     

    Verification

    You are donating to : South West Outdoors Group

    How much would you like to donate?
    £10 £20 £30
    Would you like to make regular donations? I would like to make donation(s)
    How many times would you like this to recur? (including this payment) *
    Name *
    Last Name *
    Email *
    Phone
    Address
    Additional Note
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