BOOK AN ONSITE COURSE Sirius Training Bookings Request - in-house course Sirius Training Bookings Request - in-house course This field is hidden when viewing the formInvicta Health Course ReferenceEnter your Invicta Course reference (if provided or known) : XXX-XXXXCourse Type*Basic Life Support, AED & AnaphylaxisBasic Life Support AED & OxygenBasic Life Support & AEDBasic Life Support, AED, Oxygen and AnaphylaxisFire WardenFire Warden with Evac Chair/Rescue Mat TrainingFire Safety/ExtinguisherEvac Chair or Rescue Mat TrainingManual HandlingLevel 3 Emergency First Aid at Work (1 day)Level 3 First Aid at Work (3 day)Level 3 Paediatric First Aid (2 day)Level 3 Emergency Paediatiric First Aid (1 Day)Customer ServiceChaperoneMental Health First AidHealth and SafetyRisk AssessmentDefibrillator/AED TrainingEmergency Treatment of AnaphylaxisEmergency Treatment of Anaphylaxis & AAI AdministrationEmergency Treatment of Epilepsy & Buccolam/Epistatus AdministrationEmergency Treatment of Asthma and Salbutamol Inhalers AdministrationSexual HarassmentOtherOther (Please enter the training you require)Certificate Type* Certificates of Attendance Certificates of Competence (Please read Note) Please indicate whether you want delegates to receive a 1) Certificate of Attendance, or 2) Certificate of Competence. Please note with a certificate of competence there will be an individual assessment for each delegate, the course will take longer and the cost will be higher. With certificates of attendance there will be a group practical session but no individual assessment. This has to be arranged in advance of training and can not be requested afterwards.Details of person making the bookingName* First Last Job TitleEmail* Enter Email Confirm Email Phone*Mobile Phone/Direct DialPlease supply a direct dial or mobile number so that we can contact you direct without the need to go through automated call answering, messages and queues . (particularly if you are a medical or dental practice).Practice/Organisation Name*Please enter the name of your Practice, Business or Organisation.This field is hidden when viewing the formPCNNot requiredSecond ChoiceThird ChoiceChoose from dropdown listThis field is hidden when viewing the formSurgery G CodeForm: GXXXXX (X=0-9)Contact Address Street Address Address Line 2 City ZIP / Postal Code Email Address for Invoice* Enter Email Confirm Email We now supply all invoices by email. Please enter the email address to where invoices and statements should be sent. This may be an individual email address or a generic email address for your accounts department.Training Venue LocationPlease select where the training will be held. Same as above contact address Alternative location Address of Training Venue (If different from contact address.) Street Address Address Line 2 City ZIP / Postal Code Venue Risk AssessmentAnswering these questions enables us to Risk Assess the training session and see if adequate controls are in placeNumber of Delegates*Please enter a number from 1 to 32.PLEASE NOTE: THE MAXIMUM NUMBER OF DELEGATES is 16 per instructor. This has to be a whole number, not 12-16 or approx 16. If there are more than 16 delegates a second instructor will be required.This field is hidden when viewing the formAre there windows in the training room?* Windows that can be opened Windows that can not be opened No windows select one optionThis field is hidden when viewing the formIs there air conditioning in the training room?* Air conditioning being used that takes air from the outside Air conditioning being used that recirculates air No air conditioning, or air conditioning taken out of use select oneThis field is hidden when viewing the formHow frequent are all staff testing with lateral flow tests?* Daily Twice weekly Weekly Only when they have symptoms of COVID19 Staff are not testing select oneThis field is hidden when viewing the formAre masks worn by staff in the workplace/practice? Masks always worn by all staff Masks worn only when moving around the premises or with patients/customers Masks worn when holding group meetings or training sessions Masks not worn select oneHygiene* Facilities to wash hands are close to training room Hand gel will be available in training room to be used during training session Wipes (such as clinell) will be available in the training room to wipe training equipment between use tick all that apply This field is hidden when viewing the formDo you have a regime of regularly cleaning frequently touched surfaces such as door handles, table tops, bannisters on stairs?* Yes No select answerAre staff aware that should they have COVID19, any other respiratory virus or infectious disease that they should stay away from the training session to avoid the spread of infection/disease to other delegates.?* Yes No select answerRoom size where the training will be undertaken in square metres*It is important to have an accurate estimation of room size so it can be assessed whether the training can be undertaken effectively and safely. PLEASE NOTE: If you do not have a room of suitable size it may be necessary to run the training at an alternative location such as a community centre, church hall or local hotel or to limit the number of delegates. TO CALCULATE ROOM SIZE in SQUARE METRES - length of room in metres x width of room in metres = area (size) of room in square meters. This field is hidden when viewing the formWill the space available allow a minimum of 1m social distancing between all delegates at all times during the training session?* Yes No 1.95 square metres per person (delegates and instructor/s) is required to maintain 1m social distancing.Delegate DetailsMaximum on each course is 16 Delegates per instructor (subject to meeting minimum space requirements. Please press "+" to the right of the delegates email address to open an entry for the next delegate. PLEASE NOTE AN INDIVIDUAL EMAIL ADDRESS IS REQUIRED FOR EACH DELEGATE - DO NOT SUBMIT THE SAME EMAIL ADDRESS FOR EVERYONE.List of DelegatesDelegate Names (as they will appear on certificates). You must provide an individual email address for each delegate Click on "+" to enter fields for additional delegates. Please ensure there are no errors in spellings of names and email addressesFirst NameLast NameJob TitleEmail This field is hidden when viewing the formNo of Delegates for Invicta HealthNo of Delegates for Invicta HealthSuggested dates of training in order of preferencePlease note for Primary Care Practices, PLT days get booked up early and for Schools Inset days get booked up early, so availability may be limited, please therefore provide a selection of dates wherever possible.Date Choice 1* DD slash MM slash YYYY Please supply a selection of dates. Please note for Primary Care Practices PLT dates and for Shools Inset dates, get booked up very early and it is not always possible to offer training on your first choice date. If you have a large group (over 16 delegates), please provide information in the any other comments field below as to whether you are looking to train everyone in one session or over several sessions on different dates.Date Choice 2 DD slash MM slash YYYY Date Choice 3 DD slash MM slash YYYY Start Time (24 hour clock)* : Hours Minutes Parking arrangements at practice*Parking is required for the instructor at or immediately adjacent to the practice/building as they come with a full vehicle of equipment to undertake your training. Please provide details of parking arrangements here. If you do not have suitable parking it may be necessary to run the training at an alternative location such as a community centre, church hall or local hotel.Any specific accessibility information in respect of delegates?Any other comments?Please provide any specific requirements here, such as multiple sessions over separate dates, or multiple sessions on the same day. Or any other information we may need to make your booking.I confirm that I ...* have read the course details in the booking email. I note the length of session, that this is formal training and may include a written and/or practical assessment. I accept that delegates must be present for the entire session, meet the course standards and successfully complete any practical and/or written assessment (as required) to be awarded the appropriate certificate. And – that it is the delegates responsibility to ensure they have been recorded as present on the course register. accept that due to the Living with COVID guidance and good practice, that sessions need to minimise the risk of spread of COVID, other respiratory viruses and infectious diseases, there may therefore be restrictions on the number of delegates that can be accommodated in the space provided and that course arrangements may have to change due to prevailing circumstances and that decisions on the delivery of training and any limitations and the awarding of certificates lies fully with the instructor and Sirius Business Services Ltd.. accept the terms and conditions of booking published on the Sirius Business Services Ltd website and that cancellation charges may apply should the training be postponed or cancelled Signed (type name)*Date* DD slash MM slash YYYY CAPTCHA Call Sirius FREE 0800 999 3998 Get a Quote Fill in our quote and training enquiry form and tell us your requirements GET A QUOTE Document Shop