Safeguarding Workshop – 12 March 2019 – Down Hall Farm – Royston

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Safeguarding and Protecting Children Workshop delivered by The Pony Club.

Venue: Down Hall Farm, Abington Pigotts, Royston, Herts, SG8 0SA
Date: Tuesday 12 March 2019
Starting at 10am prompt

£20.00 Per Person

You are able to enter up to 12 people at one time using this form

All attendees must be 16 years of age or above. All attendees should be aware that they might find the content disturbing. In light of this, we recommend that attendees aged 16 or 17 have a responsible adult with them.

Your Branch or Centre*
If you are not attached to a specific Pony Club Branch or Centre, please choose 'Other Official'.
If you are unable to locate your Branch or Centre, please choose 'Other Branch' or 'Other Centre'.
Note that you may be able to find your Branch or Centre quicker if you start typing the name into the search box which appears when you have clicked on the options below.
Please specify if 'Other'*
Please specify your role or the Organisation / Area you are representing.

Main Contact's Name*
The Main Contact will be the person who is booking for, and paying for, a group of attendees.
If you are booking for yourself only, please enter your details below.
First Last
Main Contact Email*
Main Contact Address*
Street Address Address Line 2 City County Postcode
Main Contact Phone Number*
Please enter your phone number with spaces eg. 01234 567890, or 0123 456 7890.

Total Due
£ 0.00
How many people from your Branch or Centre would you like to register?*
Note that payment for all those registered must be paid online as soon as this form has been completed. You will automatically be directed to our secure payment pages.
Details For Person 1
If Person 1 is the Main Contact, please just enter their name, role, confirmation of age and leave the contact details blank.
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 2
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 3
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 4
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 5
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 6
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 7
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 8
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 9
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 10
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Details For Person 11
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Additional Details For Person 12
Name*
First Last
BHS Register
Please tick if this person is on the BHS Register of Instructors, and consents to The Pony Club telling the BHS that they have attended this Safeguarding and Protecting Children Workshop.
- This person is on the BHS Register of Instructors
Email
Address
If the address is left blank, the certificate will be sent to the Main Contact for distribution.

Street Address Address Line 2 City County Postcode
Phone
Please enter the phone number with spaces eg. 01234 567890, or 0123 456 7890.
Total Payment Due
Total Due
£ 0.00
Confirmation*
By ticking this box you agree that all the information above is, to the best of your knowledge, accurate. You also agree that the total displayed above must be paid in full immediately using our online payment system (provided by PayPal). If payment has not been received, your place at the event is not guaranteed and entry may be declined if payment is not made in full prior to the event. Any refunds due to an error on your part are made subject to an administration fee of £1.50.
If you are unable to pay by debit or credit card using PayPal (you do not need an account), please submit the details you have entered and contact us on 02476 698300 to arrange an alternative form of payment.
- I Agree

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Safeguarding Workshop – 12 March 2019 – Down Hall Farm – Royston

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Additional Details For Person 12

Total Payment Due

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