Lowland Expedition Leadership Application

Please carefully and fully complete every section of this online form for your application to be considered.

Please tell us about yourself:
Name:

Date of Birth:

Gender
Male Female

Personal details:
Email (Used for all correspondence)

Telephone

Mobile

Home Address

Please tell us about your organisation:
Name

Please enrol me on the course:
19th – 20th January; 2nd – 3rd February; 8th – 10th March (Midlands)
18th – 22nd February 2019 (Midlands)
 8th – 12th April 2019 (South East)
 22nd – 26th April 2019 (Midlands)
 19th – 23rd August 2019 (Midlands)
 28th October – 1st November 2019 (South East)
None

None of the above dates are suitable, therefore, please inform me of future course dates when they become available.

I wish to discuss a bespoke LEL3 course delivered specifically for members of my organisation (minimum of 6 delegates).


Submitting this form means you agree to be bound by CTS Booking Terms and Conditions appertaining to the Lowland Expedition Leadership course.