Title of Training:__________________Date__________

 

Your Name__________________________

 

Contact Details: Tel_________ E- Mail____________

 

Appointment held_____________________________

 

District/Division:______________________________

 

Payment enclosed (amount)_____________________

(please make cheques payable to Wirral County  Guide

Association)

 

Special requirements e.g. Mobility

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Please return forms to

Adult Support, c/o 7 Claremont Way Higher Bebington CH63 5QR

You will  be allocated a place so applications will not be

acknowledged unless a session is full

Training Application