Book On A Course

1. Name

2. Address

Address...

3. E-mail

4. Telephone

5. Please contact me by

Please select.................. Post Telephone E-mail Personal visit

6. Book Me On

Please check the boxes to let us know what courses you want to be booked on.


B&Q Summer Gardening -
      Tuesday 1st July 2008 @ 10:30am to 11:30am
HomeChoice -
      Wednesday 16th July 2008 @ 11:00 to 14:00
Health Up! -
      Friday 18th July 2008 @ 14:00 to 17:00
Dealing With Stress -
      Tuesday 22nd July 2008 @ 18:00 to 21:00
B&Q Paving -
      Tuesday 5th August 2008 @ 14:00 to 15:00
B&Q Shelving -
      Tuesday 2nd September 2008 @ 10:30am to 11:30am
HomeChoice -
      Saturday 13th September 2008 @ 09:30am to 12:30pm
Health Up! -
      Tuesday 23rd September 2008 @ 10:00am to 13:00
Running Your First Home -
      Saturday 27th September 2008 @ 10:00am to 16:00
B&Q Flooring -
      Tuesday 7th October 2008 @ 14:00 to 15:00
Effective Meetings -
      Thursday 23rd October 2008 @ 10:00am to 16:00
Your Company at Your Service -
      Friday 24th October 2008 @ 14:00 to 16:00
B&Q Home Security -
      Tuesday 4th November 2008 @ 14:00 to 15:00
Decent Homes -
      Friday 14th November 2008 @ 10:00am to 12:00pm
Health Up! -
      Wednesday 19th November 2008 @ 10:00am to 13:00
B&Q Power Tools and Christmas Lights -
      Tuesday 2nd December 2008 @ 10:30am to 11:30am
B&Q Shelving -
      Tuesday 13th January 2009 @ 14:00 to 15:00
Health Up! -
      Wednesday 14th January 2009 @ 14:00 to 17:00
Understanding Home Repairs-
      Thursday 22nd January 2009 @ 16:00 to 18:00
Empowering Young People-
      Saturday 24th January 2009 @ 16:00 to 18:00
B&Q Gardening-
      Tuesday 10th February 2009 @ 10:30am to 11:30am
Running Your First Home -
      Saturday 7th February 2009 @ 10:00am to 16:00
Give Respect Get Respect -
      Saturday 7th February 2009 @ 09:30am to 12:30pm
HomeChoice -
      Tuesday 10th March 2009 @ 11:00am to 14:00
Building Your Confidence-
      Saturday 14th March 2009 @ 10:00am to 16:00
Decent Homes -
      Thursday 19th March 2009 @ 14:00am to 16:00
Health Up!-
      Friday 27th March 2009 @

Please also answer the following questions

7. Your Ethnic Origin

White
British
Irish
Other

Mixed
White and Black Caribbean
White and Asian
White and Black African
Other mixed

Asian and Asian British
Indian
Pakistani
Bangladeshi
Other Asian

Black or Black British
Black Caribbean
Black African
Other Black

Chinese or other Ethnic Group
Chinese
Other ethnic group (please indicate)

8. Your Gender

Male
Female

9. Your Age

Under 16
16 to 19
20-29
30-39
40-49
50-59
60-74
75 and above

10. Do you have a disability or impairment?

Yes
No

If yes, which category best describes your disability?

Blind or partially sighted
Wheelchair user or other mobility difficulties
Deaf or hearing impairment
An unseen disability e.g. diabetes, epilepsy, asthma, dyslexia
Mental health disability
Learning disability
Other disability (please indicate)

11 Are you

A tenant
A leaseholder