Head Room 20/21 Registration

Please select a course*
Please fill in the start date and course location*
You can find these details in the Head Room 20/21 prospectus

Name*
First name * Last name *
Email*
Email address Confirm email address
Address*
Address Line 1 Address Line 2 City County / State / Region Post Code Country
Daytime phone
Evening phone

We would love to stay in touch with you and let you know about our vital services, our education work, events and fundraising. Your privacy is important to us, and we need your consent in order to communicate with you. Please select all the ways we can contact you.
By providing this information I confirm that I am consenting to Jami holding and processing my personal data to keep me informed about Jami’s services, courses, events and fundraising. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can find out more about how we use your data and how to withdraw your consent from our Privacy Notice.
- Post
- Email
- Phone
By providing this information I confirm that I am consenting to Jami holding and processing my personal data to keep me informed about Jami’s services, courses, events and fundraising. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can find out more about how we use your data and how to withdraw your consent from our Privacy Notice.

Are you a self-paying individual?*
- Yes
- No
Is your organisation paying for you?*
- Yes
- No
Do you require an invoice?*
- Yes
- No
If you require an invoice, please supply the name of the person to be invoiced and their contact details here
Total
£ 0.00

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