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STA Level 2 Swimming Teacher Course Enrolment Form

To enable the STA 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/ Triton in the Community & STA will accept no responsibility for inaccurate or incorrect spelling).

Learner Email *

Parent/guardian 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 number (on Triton website) *

Venue for face-to-face delivery *

Course Start Date *

Gender *

Male

Female

Prefer not to say

Address 1 *

Town/City *

County *

Postcode *

Phone Number *

Emergency Phone Number *

Manual type- We issue the e-manual as part of the course, however we can order you a paper based manual for an additional fee. Please indicate below: *

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

Leaving Site Consent *

Parent to tick to confirm: I give parental consent for the learner to leave site for lunch

N/A

Data Protection & Privacy: Triton Training and STA will use your personal data solely for registration and certification of the selected qualification. By submitting this form, you consent to the processing of your personal data. Some information may be shared with the Skills Funding Agency to fulfil statutory duties, including issuing or verifying your Unique Learner Number (ULN) and updating your Personal Learning Record. Further details are available via the Learning Records Service privacy notice: www.learningrecordsservice.org.uk/privacynotice. By signing below, you confirm that the information provided is accurate and that you have read and understood this form. If the learner is under 18, a parent or guardian must countersign.

I acknowledge that I have access to STA policies *

I further acknowledge that whilst in attendance at the above course I will abide by the requirements. *

I agree to complete the STA online registration once my place on the course is confirmed (this is sent through via email) *

I agree to complete all blended learning topics (20 hours) before the last day of the course and understand I will fail the course if I do not *

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 *

Data protection and privacy: Triton and STA will use your personal data solely for the purpose of registration and certification for the qualification. I understand that by submitting this form, I am consenting to the processing of my personal data (more information on STA and Triton's website). *

Phone Type: For us to process your year subscription to the Atlantis App please select what phone you have: *

Android

Apple

Learner Agreement (found on the Triton website)

I agree to abide by the learner agreement *