SLT Workshop and Training Booking Form

Which course are you interested in? (required)
Hanen Teacher TalkHanen ABC & BeyondEarly Talk BoostUnderstanding Speech Sound developmentUnderstanding speech, language and communication development (3-5s)Supporting speech, language and communication development (3-5s)Early Talk – working with under 3sEarly Talk – working with parentsMakaton online tasterMakaton level 1 (please complete invoice information below)Makaton Level 2 (please complete invoice information below)Other (please state below)

If 'other', please state the course you are interested in:

Date of workshop (required):

Your full name (required):

Your email address (required):

Name of school, setting or service (required):

Which age group do you primarily work with? (required)
Early yearsKS1 (please complete invoice information below)KS2 (please complete invoice information below)Secondary (please complete invoice information below)

Do you work for Blackpool Teaching Hospitals NHS Trust? (required)
YesNo

If yes, please state division and service:

If no, which area do you work in?
WyreFyldeBlackpool (please complete invoice information below)Other (please complete invoice information below)

If requested in the above questions, please provide details of who the invoice should be sent to:

Name of person to be invoiced:

Postal address:

Telephone number:

Email address: