Course Booking Form Company Name * First Name Last Name Contact Name * First Name Last Name Course Address * What is the location where the course will be held? Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Billing Address If different from course location Address 1 Address 2 City State/Province Zip/Postal Code Country Course date * MM DD YYYY Course date (If more than one day) MM DD YYYY Course date (If more than one day) MM DD YYYY Course Name Makaton Taster Makaton Level 1 Makaton Level 2 Makaton Level 1 and 2 Makaton Level 3 Makaton Level 4 Makaton Level 3 & 4 Makaton Early Years (6 week course) Understanding ADHD for educators Previous courses * For people applying to do Level 2, 3 and 4 please be advised that you need to have completed the previous courses to attend. Do you agree? Course Start Time Hour Minute Second AM PM How did you hear about us? * Word of mouth Our website Makaton Charity Facebook Thank you for booking a course with us at SEND Support. We will send an invoice within 2 working days of receiving this form. If you are booking a Makaton Level course, we will require 50% of the payment on receipt of invoice, this is so we can order the manuals. Other courses cannot be cancelled but we can try and reschedule. This booking form is to confirm your booking. We look forward to working with you.