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(note: this will be your login when you return to the site)
Desired password *:
Re-enter password *:
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(passport number of state of issue and number on drivers license)
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Additional notes:
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Do you have any current or previous disability/injury
or health concerns which may hinder your abilities in
this training course?*
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If Yes, please give disability/injury details:
Do you have any hearing difficulties? * Yes No
Do you have any vision difficulties? * Yes No
Do you have any speech difficulties? * Yes No
Are you currently taking any medication
prescribed by a doctor? *
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Medication details:
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Allergy details:
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Are you able to write English? * Yes No
If other than English, what is your native language:

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