WEMSI-International

Refresher Booking Page

Thank you for requesting to book on the WEMT Refresher.

Please fill in the following Pen Picture so that we can confirm your suitability for this course.

You are required to pay a deposit as below of £250, this is normally a PayPal transaction. If you do not have a PayPal account we can give you the option of electronically transferring the deposit within 7 days.

Selecting that option will forward you the bank details.

Refresher Booking Form

Name*
First Last
Gender
- Male
- Female
Billing Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Contact Address
Same as previous

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
Phone
When did you last do a WEMT course
Medical Knowledge/Previous Courses/Prior Training
Outdoor Experience / Foreign Trips*
Charity Discount
Please insert details of Charity you are involved with and reason for applying for discout. Include the Charities Number.
Dietary Requirements/ Special Requests
Professional Registration Number

If you are a registered healthcare professional, please enter your registration number here. (eg Doctor, Nurse, Paramedic, etc.)
Professional Body

The professional body you are registered (eg Medical Council, Nursing Board, HCPC etc), including country.
Accommodation required*
- Yes
- No
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