Breight Education

Group Enrolment Form

You are about to book participants in a RIIWHS204E - Work safely at heights course.

Course Start date: 16 Sep 2024

As Breight Training RTO # 45006 is not a CRICOS-registered provider,we cannot deliver courses to international students either onshore or offshore.To proceed with your enrolment we require confirmation from you that you are not in Australia under any student visa conditions. We ask that you upload a suitable document that can verify this BEFORE formalising and paying for your course. This identification will need to identify a current Australian residential address for example a passport or drivers licence.

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

Available seats: 8

Organisation Name *

First Name *

Last Name *

Email Address * Please CC me at the above email address in correspondence to the following participants I am booking.

Phone Number *

Preferred Payment Method

Purchase Order

Participants

Surname

Given Names

Date of Birth

Gender

Mobile

Total price for participants: $275.00

Enrolment Fee: $275.00

I have read and I agree to the terms and conditions.