Course Booking Form

Booking for Intermediate Care Skills - Paediatrics

Delivered by: DREEAM
Delivery type: Face to Face
Start Date: 13/02/2023
Price: £269.00

Please complete the details below for each attendee you wish to book onto this course.
(Fields marked are mandatory.)

Need any help?

For any questions about course bookings, please email dreeam@nuh.nhs.uk or call us on +44 (0)115 970 93 96.

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Attendee Information

(Mr/Mrs/Miss/Ms/Mx/Dr etc)
Gender
Is the attendee an NUH employee?

For the monitoring of Quality and Diversity purposes Health Education England / NHS England would value this information to be collated by all organisations who are awarded CPD funding. This information is sent confidentially and anonymously to HEE/NHSE to ensure that we offer equal access to training and learning at NUH. Our aim at NUH is to ensure equal access to education and training for Nurses, Midwives and AHP's and this data will support this to be achieved.

Are you happy to complete the Equality Monitoring Form?

Attendee Contact Details

Please check carefully that the email address you have entered is correct, as it is used for important communications regarding your course, including booking confirmation and, where applicable, payment and access to our e-learning resources.

Attendee's Address

Requirements

If your course Is offering Catering, please add any Dietary requirements below.
or
Do you identify as neurodivergent (e.g., autism, ADHD, dyslexia, etc.) or have any cognitive or sensory needs we should be aware of to better support you?
If yes, please let us know what accommodations or adjustments would help you feel most comfortable or supported.

Please also tell us of anything else we should be aware of to support the attendee at this course.