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YMCA L2 Water based Exercise Course Enrolment Form

To enable the YMCA 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/YMCA will accept no responsibility for inaccurate or incorrect spelling.

Learner Email *

First Name *

Last Name *

Date of Birth *

Course Fees Payment Method *

I am paying for this course privately

I am paying for this course privately and would like a payment plan (full payment must be made 1 week before day 1 of the course)

I am a funded applicant (Confirmation email already received from Triton Training)

My employer/club is paying for me and I will need an invoice (add employer details below)

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

Course type *

If you are completing the Award, please upload your Group training or ETM certificate (copy to your browser and upload here: https://forms.gle/gwvCjxS7MELQe9gU7). If it was completed a while ago please also upload proof of working in the field.

Uploaded

Not applicable

Course Start Date *

Gender *

Male

Female

Prefer not to say

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 Understanding

I confirm that I understand what is expected to complete the course I am applying for successfully *

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 we need to know that could affect this training programme? (e.g.: family engagement, Communication, Confidence, doctor told you not to exercise, pregnancy…) *

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

Data protection and privacy. YMCA will use your personal data solely for the purpose of registration and certification for the selected qualification. Triton may email with other courses and services. I understand that by submitting this form, I am consenting to the processing of my personal data. Some of the information you supply will be used by Skills Funding Agency to fulfil its statutory functions, issue/verify your Unique Learner Number (ULN) and update/check your Personal Learning Record. Further information can be found at www.learningrecordsservice.org.uk/privacynotice. By agreeing below, you are confirming that you have read and understood the contents of this registration form and that the information you have provided is accurate. If you are under 18 years of age, your parent/guardian must agree below. *

Agree

Parent Agree on behalf of learner under the age of 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 *

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 *