Registration to course : Train-the-Trainer: becoming a dynamic facilitator





First Name*:
Surname*:
Year of birth:
Woman/Man:
PRBB Institution*:
Department:
Position held*:
Email*:

Please note: PRBB Intervals courses are for PRBB affiliated staff only. The e-mail address you give must match the e-mail address recorded in the PRBB database, as provided to us by your employing PRBB centre. If your email is not on our PRBB resident database, please send an email to intervals@prbb.org.

Phone*:
Please summarise briefly why you wish to attend this course:*
Security check:

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For any questions or comments please email intervals@prbb.org.