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MECC - Make Every Contact Count Online

Please supply some basic contact details to complete your booking:

Details provided for course registration may be shared with the training course people.

First Name: *

Last Name: *

Phone: *

It looks like that postcode isn't in BANES. Are you a patient at a BANES surgery?

GP in BANES?: *

Do you have any physical or mental health needs that we should be aware of?:

Details:

The following fields are required to be able to commission public services fairly and according to need, demonstrating that we are meeting the needs of the whole population

Ethnicity: *

Age group: *

Gender: *

Are you new to the Wellbeing College? *

We'd like to be able to send you a booking confirmation. Please provide an email address, or a postal address if you don't use email.

Email: *

Building number or Name:

Street Name:

Town or City:

County:

Postcode: *

If you have any special requirements we should be aware of for the course please email us on wellbeingcollege@virgincare.co.uk or call 0300 247 0050 to discuss.

Fields containing an asterisk (*) on this form are mandatory.

Under privacy laws, you have the 'right to be forgotten' - please get in touch if you'd like your details to be removed from our database.

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Is there a cost?
No, this activity is free of charge.
Who is this aimed at?
Men and women, all ages.
Contact Details:
Wellbeing College
0300 247 0050
wellbeingcollege@virgincare.co.uk
The 5 Ways:
This is provided by:

MECC - Make Every Contact Count Online

Please supply some basic contact details to complete your booking:

We'd like to be able to send you a booking confirmation. Please provide an email address, or a postal address if you don't use email.

If you have any special requirements we should be aware of for the course please email us on wellbeingcollege@virgincare.co.uk or call 0300 247 0050 to discuss.

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