Level 2 Award in Mental Health Awareness

Form to be completed upon enrolling on to one of our courses
Name*
Please enter the name as you would like it to appear on your certificate.
First Last
Date of birth*
Email*
Phone*
Address*
Please enter the address that you would like your manual and certificate posted to.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Gender*
Additional Support - Do you consider yourself to have a disability, learning difficulty or health issue, which may impact your learning on the course? **
If the answer is yes please give more information
Ethnicity*
Add a photo/scan of your driving license or passport (if you have already given us a copy of your ID you can skip this question)
Max file size 8MB
Where did you hear about us?*
If you were referred by a friend please enter their name below.
Please read through our Terms of Service carefully via the link below, as they set out the legal rights and obligations in relation to the services provided by Storm Fitness Academy Ltd:*
- I agree to the Terms of Service
stormfitnessacademy.co.uk/terms-of-service