RISE Train the Trainer booking form

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* 1. Contact details

Name

School

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Type of school

Primary (state)

Primary (independent)

Secondary (state)

Secondary (independent)

Not applicable

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* 3. Date and location of Rise Train the Trainer course you would like to attend:

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* 4. Would you like to attend the AM or PM session?

AM (930am - 1230pm)

PM (1pm -4pm)

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* 5. Do you have any accessibility or support needs we should be aware of to support your participation in the workshop?

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* 6. Please provide details of where we should send the invoice if different from above:

Name

School

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number