Education and Training Booking Form

Name

First Name

Last Name

Organisation

Job title/role

Email address

Contact number

Venue/Address

Area/town/city

Training/ activity request details

Please include any details of training or activities you would like SYEDA to deliver.

Audience

Who will the activity be for? Please include age and numbers.

Aims/purpose of activity

Please include any information about the purpose of the session and how it should link to wider activities / curriculum / aims

Time(s) and date(s) which you would like SYEDA to deliver training or activities

Any other details, information, requests or questions?

We help those affected by this psychological illness, and potentially help in the long term to save lives.