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MiDAS Registration Form

Please complete the online form below to book a place on our MiDAS Induction and Refresher courses. Please remember that if you have previously completed an Induction for a Standard certificate you will have to enrol on a new Induction course to obtain an Accessible certificate. This is not the case if you already possess an Accessible certificate as then you may enrol on a refresher course directly.

Please note that course places will only be provisionally booked for 10 working days until the course fee is received.

All submitted information is handled in line with Community First’s privacy policy. Information given in this form will be used for training administration only, unless either the marketing and survey boxes are ticked – in which case these details will only be used by Community First to keep you up to date about courses we run and ask you about our services for future development.

(Note: If you are over 70 please contact the MiDAS Coordinator at bookings@cfirst.org.uk or on 01730 777059 to book on either of these courses, and make sure you read the guidance page linked below first.)

Please read all three linked pages below before continuing to fill in form.

MiDAS Registration

* These fields are required.

Course Details

(Which course date would you like to be on? Please check the main page - How often do courses run? for available dates, locations and course types)

Applicant Details

(If you are applying on someone else's behalf, please enter their details as well when prompted below. This is not necessary if you are the learner)
(Mr, Mrs, Ms, Miss, Mx, Dr, etc.)
Organisation Address
Town/City
County
Postcode
Country
(If yes, please fill in all learner info below, if no, please also fill in learner's name and phone numbers below as well as all other information)
(Mr, Mrs, Ms, Miss, Mx, Dr, etc.)
Learner's Home Address
Town/City
County
Postcode
Country
(Learner must be aged between 21 and 70 years. If you are over 70 please contact the MiDAS Coordinator to book a place.)

Licence Details

(All four digits please: e.g. 1970)
(You require a full driving licence and two years experience to apply)
(B may limit how you can use the certificate, click below for more information on this)
MiDAS Drivers Guidance Information
(If YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)
(If you answer YES, please give details in the box provided)

Payment Details

(Please re-enter this even if it is the same address entered earlier on. An email address is required if paying via Invoice)
(If YES, enter either the PO number, or indicate whether PO will follow later in the box provided)
(Please re-enter this even if it is the same address entered earlier on. An email address is required if paying via PayPal)

Other Details

(Click below to review them if you already have not done so)
Terms and Conditions for Training

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