Register: Staying Safe

Thank you for registering for:

Staying safe - a refresher course for older drivers

Date: 30 July 2024
Time: 10am - 2pm
Place: BrainTree, 70 Langdons Road
Cost: Free

You may register yourself and a support person below. If the form appears to not be working, it means registration is full.
Please call: 03 366-2857 for the wait list.
If you are unable to attend, please call to give your seat to someone else.

Persons name *

First name

Last name

Email address *

Cell phone

Name of partner or support person if they are attending with you:

Please leave this blank if not bringing a support person

Stock item *

	Quantity	Price	Total
Staying safe 30/7/24

Koha always appreciated

No payment required
No payment required