Team-Teach Advanced Module

Contact Details:

Title:
Contact Person:		Employer/Company:
Building No/Name:		Street Name:
Town/City:		County:
Postcode:		Telephone:

Email Address:

Nature of Service

Please select type of service:

Adult Services		Children Services
Learning Disabilities		Learning Disabilities
Elderly		Mainsteam (SEBD)
		Primary Age
		Secordary Age

Personal Safety Elements and Course Content

Select Advanced Module

Transport

Ground Assaults and Fights

Ground Holds and Supports

Everyday Objects used as Weapons

Blunt Impact Objects
Sharp and Pointed Objects
Pool Cues
Chairs
Missiles

Course Delegate Numbers

Advanced Modules are organised on an "In House" basis #. Minimum cost is based on 8 course numbers. Courses are billed in units 8 (i.e. 9 would be billed for 16. Maximum per module 24).

# venue costs will be extra.

Number of Staff to trained:
Preferred Date(s):

Once you submit this form someone from e.r.i.c. will contact you to discuss your requirements further.