pre-course-information

    Name

    Date

    Safer training solutions need to have certain personal, medical and fitness information about you to ensure we act with a duty of care. Agreement to the provision of the required medical and fitness data is a condition of acceptance onto this course. Please note that sensitive personal data (as defined under the act) will not be disclosed without your specific consent.

    If you would like more information on the specifics of how we will store and use your data please email

    safertrainingsolutions@gmail.com

    Please sign below to say you agree to supply your personal data and for it to be securely stored.

    Delegate fitness questionnaire

    Have you ever been diagnosed with, currently experiencing or on medication for the following?
    Please tick

    If you have ticked any of the above please provide more details below

    Declaration to undertake physical skills training

    Print Name:

    Signature:

    Email: