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The Elior Institute Ltd.- REGISTRATION FORM- Professional Development & HSE Training Courses
UPSTAIRS CORNER WARDEN ROAD • MAIN ROAD • POINT FORTIN TRINIDAD, W.I.
PHONE 271-3005, 250-7737  WHATSAPP: 250-7737
EMAIL the.elior.institute@gmail.com
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Name *
Date of Birth *
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Home Address *
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Are you under 18 years old?  *
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If yes to the question above, please state Parent's Name and Contact Number
Please list your Emergency Contact (Name, Relationship, Contact Number) *
Email *
Phone Number *
What Professional Development courses/ workshops are you interested in? *
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Which HSE Training  courses/ workshops  are you interested in? *
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What is/ are the area/s you require the most help with?

Are you interested in our Hard Skills programs (costs vary per workshop TBA): *
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Please list any other classes/ courses you would be interested in: 

Dietary restrictions (select all that apply) *
Do you have any allergies?  *
If yes to the question above please state your allergies below:
Do you suffer from any Medical Conditions?        *
If yes to the question above please specify and give a brief description:
What is your blood type? *

What are your expectations of this program? 

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Any additional comments or queries?

How did you hear about this program?

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PAYMENT INFORMATION
Please note the following: 
Fee Structure:

    Costs vary based on selected program
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Payments will be accepted in deposit/ cash/ credit card form only. Please select one option below: *
I have read and agree to the Refund Policy as follows:
If a class is cancelled by the Institute, a full refund will be returned.
No refunds are available to registered individuals who withdraw after the registration deadline.
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