Health & Social Care Workshop Booking

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Workshop*
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Title
Name*
First Name Last Name
Email*
הזן אימייל אימות אימייל
Primary Job Category*
Secondary Job Category - Education*
Secondary Job Category - Sports*
Secondary Job Category - Community & Faith*
Secondary Job Category - Youth Work*
Secondary Job Category - Health/Social Care/Family Services*
Secondary Job Category - Public Services*
Secondary Job Category - University*
Secondary Job Category - Other*
Organisation*
URN / SEED (If you are not sure of your organisation's URN/SEED number, please leave this field blank)
Please add your organisation's unique reference number, e.g. School URN / Charity Number
Date of birth*
DD סלאש MM סלאש YYYY

This is information is required so that we can provide you with a certificate.
Postcode*
Please enter the postcode of your organisation or place of work. This helps us gather data to demonstrate our regional impact
Outside UK?
- Yes - I'm attending from outside of the UK
Please skip if you are within the UK.
What is the education setting of the child/children you have contact with?*
- Primary
- Secondary
- Sixth Form/Further Education
- Higher Education
- Other
Please select all that apply
What is your young person reach?*
How many young people do you aim to work with on the topic of gaming/gambling over the next 12 months?

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