Certificate in Teaching Aquaphobics (CTA) Enrollment form and payment instructions
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STA promo code or membership number
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Choose which CTA product you would like to buy.                Please note the course books are included in the digital content and also supplied as PDF's. *
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CTA CPD 2 Dates 2022 - If you are purchasing our bundle offer or just CPD 2, you can choose one of the dates below to attend the live course (Subject to availability) ON ZOOM                                                                        
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So that we send the right version for your computer kit , please tick one of the boxes below.
Your name *
Your email address *
Your address *
Your mobile number *
Your Swimming Teachers Certificate number *
Specialist Learning Requirements (please tick the relevant option/s) *
STA - CTA Course Prerequisites - All learners must meet the following criteria before starting the course (please tick each box if you met the criteria shown or leave blank if you do not) *
Where did you hear about the CTA Course?
CTA payment details *
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Please pay to the following account/s
CPD Payment details are:

UK Academy of Swimming Ltd
Sort code:    20 29 77
Account:      00168246

Please complete the whole form. Entry may be politely refused if the prerequisites are not met. If you have any questions please email info@waterphobia.com
Declaration - I declare that all of the information I have provided on this enrollment form is true and accurate and that I meet the course prerequisites. PRINT YOUR NAME and or add your signature. *
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