Certificate in Attachment Theory and Skills booking form

Contact Details

Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Mobile Phone Number

Payment

In order to book your place on your chosen course you will need to pay a deposit of £250 by 30th June 2024 and commit to paying the full course fee for the coming year.

Interview Fee *

Price: £50.00

Deposit *

Price: £250.00

I will pay the £250 deposit and £50 interview fee via PayPal when submitting this form online

Declaration

I understand that my place on the course is not secure until the deposit of £250 has been paid to The Bowlby Centre in full. I confirm that I herewith require The Bowlby Centre to book my place on the course indicated at the top of this form. I confirm that if accepted I will pay the full fee for the first year on demand and that my place on the course is at risk if payments are not made. I understand that courses can be over-booked or places become unavailable, and that my deposit will be returned in those eventualities. I confirm that my deposit is non-returnable if I withdraw from the application process after 10th July 2024.

Signature *

Clear Signature

I hereby apply to enroll with the Bowlby Centre.

About You

Please explore for us your reasons for applying to Certificate in Attachment Theory and Skill with The Bowlby Centre

This is so that we can get a sense and understanding of you as a person. Tell us about your past and current circumstances and some idea of what you would bring to The Bowlby Centre, as well as what you would hope to gain from the course. How would you describe this point in your life and why you are considering training now?

Are you registered disabled?

Yes
No

Would you describe yourself as differently abled including special educational needs eg dyslexia?

Yes
No

Please provide details so we can think together about the kind of support you may need on the training

Current Occupation

Signature *

Clear Signature

Please sign to confirm that it contains accurate and factual information.

Date *

Please contact Sarah Slater at admin@thebowlbycentre.org.uk if you have any queries.

When you press the send button you will be emailed a copy of this form, for your records or to print it out.

Total

£0.00

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name