Please complete a the form below for the Taster Session that you would like to attend. The Taster sessions are only available to individuals registered with GP Practices in the Cwmtawe Cluster as listed below.

After receiving your form, we will ensure that there is space for you on the chosen taster session and get back to you to confirm your place.

CANCELLATIONS: If you find after booking that you are unable to attend the session, please let Amy Meredith-Davies know as soon as possible by phoning 01792 544028 or 01792 544000 or emailing amy_meredith-davies@scvs.org.uk

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* 1. Which Taster Session would you like to attend?

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* 2. Name:

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* 3. Please select the GP Practice you are registered with:

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* 4. Address (please include postcode):

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* 5. Telephone number:

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* 6. E-mail address for confirmation letter:

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* 7. To enable participants to get the most out of the session, we would like to know if you have any special requirements to support your involvement.
These could be related to a disability (e.g., requiring a loop system, information in large print or Braille, specific arrangement of room, sign language interpreters, bringing a personal assistant); arrangements relating to the timing of session, or for any other reason, such as culture or religion. Every reasonable effort will be taken to meet these needs.

"To participate fully in this course, I need" (please state this in the comment box)
If you have any additional learning needs, would you like to speak to the Trainer ahead of the course? If so, please state this in the comment box

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* 8. What do you hope to gain from attending this taster session?

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