Course Registration Form

REGISTER

* our registration form appears to be temperamental at the moment. If you sign up and don’t hear anything within 24 hours, please email lyndall@captivate-action.com *

Terms & Conditions

Your Full Name (*)

Your Email (*)

Your Phone Number (*)

Your Address and Postcode (*)

Your Date of Birth dd/mm/yyyy (*)

In Case of Emergency Contact (*)

Your Occupation

Course or Workshop Name (*)

Course Date (*)

Course Fee (*)

To register please inform us of any medical conditions, injuries or allergies; or if learning support is required (*)

Are there special instructions for us to support you with any condition listed above?

Please tell us your previous performance training or experience (please include dramatic combat draining if you are registering for a dramatic combat course) (*)

Do you train in any other sports or physical disciplines regularly? Please list (*)

How did you hear about us? (*)

Please type confirmation that you have read and understood our Course Terms and Conditions (link below). By clicking 'send' you agree to these terms and conditions (*)

Would you like to join our mailing list for updates on news, training and job opportunities?


Terms & Conditions

You will receive an email reply shortly, and your place will be confirmed on processing of full Course Fees.

Please let us know your preferred method of payment and we will forward you the relevant details.  We accept BACS, cheque, cash in person, and PayPal (additional fee applies).

Make sure you have read and understand our COURSE TERMS AND CONDITIONS.

Any questions please get in touch

 

We look forward to working with you!

 

  • Photograph: Minna Paija, Fight Performer
  • Photographer: Ben Porter