Group Enrolment Form

You are about to book participants in an EQS OrangeCard Combo - Operate EWP up to 11 metres (BL & SL) and WSAH course.

Course Start date: 27 Mar 2025

Should you wish to enrol in only Scissor and Boom Lift, please enter "EWPONLY' in the discount field.

If you consider you may be eligible for the Construction Training Fund Rebate or relevant membership discount please contact Equip-Safe directly.

Please fill in the Registration form below. Fields with a red * are required.

Available seats: 8

'Unit 1, 9-13 Kewdale Road, Welshpool, WA', 'SEATS_LEFT' => '8', 'COURSE_ID' => '', 'START_DATE' => '2025-03-27', 'END_DATE' => '2025-03-28', 'VERSION' => 'OPEN TO PUBLIC', 'COURSE_FEE' => '650.00', 'ENROL_FEE' => '650.00', 'NOTIFY_1' => 'admin@equipsafe.com.au', 'NOTIFY_2' => '', 'MY_FIELD1' => NULL, 'web_form_id' => '4', 'web_form' => array ( 'id' => '4', 'name' => 'LLND', 'email_text' => '', 'group_email_text' => '', 'fields' => array ( 1 => array ( 'label' => 'Do you have any learning difficulties?', 'data_type' => 'BN', 'required' => 'Y', 'target_my_field' => '1', ), 2 => array ( 'label' => 'If yes, please advise of learning difficulty', 'data_type' => 'FT', 'required' => 'N', 'target_my_field' => '2', ), 3 => array ( 'label' => 'Can you lift, twist, and move a weight of 15kg?', 'data_type' => 'BY', 'required' => 'Y', 'target_my_field' => '3', ), 4 => array ( 'label' => 'How well do you speak English?', 'data_type' => 'LV', 'required' => 'Y', 'target_my_field' => '4', 'values' => array ( 0 => 'Poorly', 1 => 'OK', 2 => 'Very Well', 3 => 'Fluent', ), ), 5 => array ( 'label' => 'How well do you read and write English?', 'data_type' => 'LV', 'required' => 'Y', 'target_my_field' => '5', 'values' => array ( 0 => 'Poorly', 1 => 'OK', 2 => 'Very well', 3 => 'Fluent', ), ), 6 => array ( 'label' => 'Can you count to 100 in English?', 'data_type' => 'BY', 'required' => 'Y', 'target_my_field' => '6', ), 7 => array ( 'label' => 'How well do you use a computer?', 'data_type' => 'LV', 'required' => 'Y', 'target_my_field' => '7', 'values' => array ( 0 => 'Poorly', 1 => 'OK', 2 => 'Very well', ), ), ), ), 'SHOW_DATES' => true, 'SES_START' => '07:30', 'SES_END' => '15:30', 'ACCREDITED' => 'y', 'PUBLIC' => true, 'EMAIL_STUDENT_CONF' => true, 'CRS_MUST_PAY' => false, 'CRS_CANNOT_PAY' => false, 'DISCOUNT_CODE' => 'MEMBER', 'DISCOUNT_VAL' => '617.50', 'USE_MIDDLE_NAMES' => 'Y', )">
 Please CC me at the above email address in correspondence to the following participants I am booking.

Participants

1.

Total price for participants: $650.00

Enrolment Fee: $650.00