Booking Form - Coaching 1 (DATE) 3 x Twilight Sessions 4pm to 6pm

Please confirm that you wish to attend the twilight sessions as detailed below.

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* 1. Please confirm that you wish to attend the twilight sessions as detailed below.

  YES
Tuesday 16th January, 2018 - 4pm to 6pm
Tuesday 13th February, 2018 - 4pm to 6pm
Tuesday 13th March, 2018 - 4pm to 6pm
Please note there are a maximum of 12 places available on these sessions

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* 2. Please note there are a maximum of 12 places available on these sessions

If you chose other, please give details

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* 4. If you chose other, please give details

Delegate email

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* 5. Delegate email

If you chose other, please give details

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* 7. If you chose other, please give details

There is no charge for this programme, to Transform members, but an upfront deposit of £100 is required in advance.  This deposit will be re-imbursed after completion of the programme

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* 8. There is no charge for this programme, to Transform members, but an upfront deposit of £100 is required in advance.  This deposit will be re-imbursed after completion of the programme

Full Name

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* 9. Full Name

If you chose other, please give details

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* 11. If you chose other, please give details

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Image

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