Summer 2019 Booking form: Animal Assisted Therapy in Counselling (Telford, 3 Day Course)
Saturdays 14th September, 19th October & 16th November 2019
Exotic Zoo CIC, Lakeside Plant Centre, Priorslee, Telford TF2 9UR
Name: (Please put first name & surname as you want it to appear on your certificate) *
Your answer
Address:
Your answer
Postcode:
Your answer
Phone: *
Your answer
Email: *
Your answer
DIET/ACCESS: Please indicate any special requirements overleaf, other than “vegetarian”, which we will cater for by default.
Your answer
ANIMAL ALLERGIES/ PHOBIA: If so, please specify. *
Your answer
I will be paying the course fee of £399 *
I found out about the course via *
Do you have any additional special requirements?
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service