Booking Form

On receipt of this booking form you will be invoiced for the cost of the course(s).

Payment can be made via BACS or cheque, bank details will be included on the invoice.

If you wish to pay by card, this will be processed via PayPal, and is subject to a 5% surcharge.

Name (required)

Address

Email (required)

Telephone

Profession

Courses and Dates

Total Cost

Do you have a disability that we need to know about

Where did you hear about the CSTD London courses

Experience of giving/receiving supervision

CSTD courses attended

Would you like to be added to the mailing list for future course updates
Yes

Attach a photo of yourself (Format: JPEG or PNG, Maximum file size: 10MB)