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RLSS NPLQ 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). You must be able to complete the prerequisites for this course prior to enrolment, we accept no responsibility for not being able to continue with the course if they are not met.

Email *

Parent/guardian Email

First Name *

Last Name *

Date of Birth *

Please choose how your space will be paid for

Employer/ Club name, contact name and email address for invoicing *

Prior to starting this course, please tick that you can do the following:

Be aged 16 or older at the beginning of the course *

Surface dive (transition from swimming at the water’s surface to diving downward into deeper water within the deepest part of the pool) *

Jump/dive into deep water *

Swim 50 metres in less than 60 seconds *

Swim 100 metres continuously on front and back *

In deep water, tread water for 30 seconds *

Climb out unaided without ladder/steps and where the pool design permits

Course Start Date *

Gender *

Male

Female

Prefer not to say

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. *

Address 1 *

Town/City *

County *

Postcode *

Phone Number *

Emergency Phone Number *

Course Attendance Commitment

I confirm that I am able to commit to the full course attendance dates/times *

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 *

I confirm that i have a good level of eyesight and hearing without aid that is necessary to complete the course practical. *

Educational Barriers: Did you come across any barriers whilst at school or college that you feel will influence you completing this training programme? *

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? *

Yes

No

Personal Barriers: Is there anything that might prevent you from completing this training programme? (e.g.: family engagement, Communication, Confidence…) *

Yes (Please give details in notes)

No

Legal Barriers: Do you have any non-protected, spent or unspent convictions, cautions, warnings or reprimands? *

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)? *

Notes: Please add any relevant information relating to the above questions

Where did you hear about this course? *

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 *

I ONLY give permission for any videos or photos to be taken for assessment purposes

Leaving Site Consent *

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. *

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 *

I agree that I will abide by the requirements set out within all Triton Training's Policies and Procedures *

Learner Agreement (found on the Triton website)

I agree to abide by the learner agreement *