On-site training - Registration

PARTICIPANT'S INFORMATIONS

Training's name

First name + middle names(s)*

Last name(s)*

Date of birth*

Gender*

Nationality

Language(s) spoken*

Telephone number*

Email address*

Postal address

On-site training - Registration

ORGANISATION'S INFORMATION

Your organisation’s name + Country of assignment*

What is your position within this organisation?*

On-site training - Registration

MEDICAL'S INFORMATIONS

Do you have any dietary requirements (vegetarian meal, gluten-free, no pork, etc) ?*

Do you have any allergies ?*

Do you have any known medical conditions and/or antecedents (such as pulmonary, cardiac, or physical)? If so, which ones?*

Are you currently on any medication and which one? *

Is there anything else you believe we should be aware of ? *

On-site training - Registration

INVOICING

Name of invoicing contact *

Email address of invoicing contact*

Postal address of invoicing contact (office)*

Invoicing currency*

On-site training - Registration

Terms and Conditions

I am aware this training includes simulations which require to be in good health

The participant will complete and sign prior to the training, a confidential declaration of his/her medical history, providing ALL known medical-physical conditions to OTHER SOLUTIONS. He will also follow OTHER SOLUTIONS COVID protocols, including filing out a Covid sworn statement.

I am the participant and I have my manager's authorisation to register for this training OR I am the manager and the participant is aware of her/his registration for this training.

By submitting this booking, I have read, understood and agreed to the Terms and Conditions. I also understand that, by submitting this booking, the Terms and Conditions will be applied should there be any modification, cancellation, or failure to attend this training.

I subscribe to the newsletter