RLSS NRASTC renewal Course Form
To enable RLSS to register a learner for a qualification, each learner must complete and return this form to enrol. PLEASE ENSURE ALL INFORMATION IS ACCURATE AND SPELT CORRECTLY (The details supplied on this form will be used to register your enrolment on your chosen course and on your official qualification certificate, Triton Training & RLSS will accept no responsibility for inaccurate or incorrect spelling). To complete a renewal you need an in date NRASTC & 6 hours of Continued Professional Development (CPD) within the last two years from the date of the previous assessment covering content from the syllabus: The Teacher, Swimming Pool and Class Management (at least 2 hours) In-water swimming pool rescue skills (at least 2 hrs) CPR, AED and First Aid (at least 2 hrs)
Confirmation on renewal route (if you cannot tick below you need to complete the full course)
I have an in-date NRASTC certificate (please email to info@tritontraining.co.uk)
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I have evidence of completing 6 hours in NRASTC based training
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Email
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First Name
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Last Name
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Date of Birth
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How will your space on the course be paid?
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I am paying for the course
My employer is Aquatots
My employer is Swimming Nature
My employer is paying for me and will need an invoice
Employer/ Club name, contact name and email address for invoicing
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Venue for the practical
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Swimming Nature Muswell Hill, 202 Creighton Ave, London N2 9BJ
Other private venue arranged
Aquatots venue
Course Start Date
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Gender
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Male
Female
Prefer not to say
Course Prerequisites: All learners must meet the following criteria before starting the course. Please tick this is correct for you.
Be aged 16 or older at the beginning of the course
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Be able to swim on front and back
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Surface dive 1.2m (transition from swimming at the water’s surface to diving downward to the pool floor).
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Climb out without help and without using a steps or ladder
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RLSS society number: If you aren’t already a member of the RLSS UK, you need to set up a RLSS UK account, go to rlssuk.tahdah.me/account/registernew select ‘No’ and follow the instructions. Add your 8 digit membership number below.
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Ethnicity Codes
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Not Supplied (99)
White - British (23)
White - Irish (24)
White - Other (25)
Mixed - White & Black Caribbean (21)
Mixed - Other (22)
Black or Black British - African (15)
Black or Black British - Caribbean (16)
Black or Black British - Other (17)
Mixed - White & Black African (20)
Chinese (18)
Asian or Asian British - Indian (12)
Asian or Asian British - Pakistani (13)
Asian or Asian Bangladeshi (11)
Asian or Asian British - Other Asian background (14)
Mixed - White & Asian (19)
Prefer not to say (97)
Specific Learning Difficulty
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Moderate Learning Difficulty (97-1)
Severe Learning Difficulty (97-2)
Dyslexia (97-10)
Dyscalculia (97-11)
Other specific learning difficulties (97-19)
Multiple learning disabilities (97-90)
Specific Language impairment (97-94)
Asperger's/autism (97-95)
ADD/ADHD (97-96)
Other (97-97)
No learning difficulty (97-98)
Not known/ information not provided (97-99)
Disability Codes
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None
Visual impairment (1)
Hearing impairment (2)
Disability affecting mobility (3)
Other physical disability (4)
Asthma/epilepsy/diabetes (5)
Emotional behaviour difficulties (6)
Mental ill health (7)
Temporary disability after illness (8)
Profound complex disabilities (9)
Multiple disabilities (90)
Other * (97)
No learning difficulty (98)
Not known/information not provided (99)
Address 1
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Town/City
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County
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Postcode
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Phone Number
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Emergency Phone Number
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Course Attendance Commitment
I confirm that I am able to commit to the full course attendance dates/times
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Coursework & Practical Assessment, tick that the below are correct.
I confirm that I understand what is expected to complete the course I am applying for successfully
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I confirm that i have a good level of eyesight and hearing without aid that is necessary to complete the course practical.
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Educational Barriers: Did you come across any barriers whilst at school or college that you feel will influence you completing this training programme?
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Yes (Please give details in notes)
No
Technology Access: Do you have access to a laptop/tablet to attend live online learning and complete any theory work?
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Yes
No
Personal Barriers: Is there anything that might prevent you from completing this training programme? (e.g.: family engagement, Communication, Confidence…)
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Yes (Please give details in notes)
No
Legal Barriers: Do you have any non-protected, spent or unspent convictions, cautions, warnings or reprimands?
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Yes
No
Legal Discussion: If you answered 'Yes' to the above are you happy to discuss with your tutor?
Yes
No
Recognised Prior Learning: Do you hold any qualifications that may make you eligible for RPL (if yes add details to notes below)?
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Yes
No
Notes: Please add any relevant information relating to the above questions
Where did you hear about this course?
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Photography Consent
I give my consent to use my photographs and consent to the photographs being used in all media including press, web and social media
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I ONLY give permission for any videos or photos to be taken for assessment purposes
Leaving Site Consent
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Parent to tick to confirm: I give parental consent for the learner to leave site for lunch
N/A
How RLSS UK Uses Your Data By completing this form, you consent to RLSS UK and RLSS UK Enterprises Limited processing and storing your personal data to administer your award or qualification. Your data will be kept secure, used only for this purpose, and not shared with third parties without your consent. Full details are available in the RLSS UK Privacy Policy: https://www.rlss.org.uk/privacy-policy.
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Agree to electronically sign.
Parent Agree to electronically sign (if candidate under 18)
Policies Agreement: All of our policies can be found on the ‘About us’ page of our website https://tritontraining.co.uk/about-us/. Please click below to confirm that you understand where to locate these policies and will abide by the requirements set out within all policies.
I acknowledge that I have been supplied with or have access to a copy of all Triton Training's Policies and Procedures
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I agree that I will abide by the requirements set out within all Triton Training's Policies and Procedures
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Learner Agreement (found on the Triton website)
I agree to abide by the learner agreement
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Submit