7763-03 L3 Diploma Booking Form | Summit Groomer Training Centre

Full Name*

First Last

Date of Birth*

Full Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

E-mail*

Contact Number for day of exam*

Original Centre of Registration*

Other, please state*

Date of registration, if known

If applicable, please select previously completed unit/s*

YOU MUST SUPPLY EVIDENCE FOR ANY PREVIOUS UNITS SUCCESSFULLY COMPLETED

This should be emailed to enquiries@looknorth.net or a copy posted to 2 Henry Street, Keighley, BD21 3DR

Please confirm that you have received your Level 3 Introductory certificate (orange ribbon)*

Have you successfully achieved the Handstrip Unit*

City & Guilds Registration Number*

At which Centre and on what date will you be taking the exam?*

Unit No to be completed*

Cost per dog is £140 to be paid to Summit Groomer Training Group. This covers examination and invigilator costs only.

Along with the application for the third and final dog, a further amount of £45 for certification must be paid. CERTIFICATES WILL NOT BE CLAIMED UNLESS THIS PAYMENT HAS BEEN RECEIVED.

ALL FEES CHARGED ARE NON REFUNDABLE

Amount Paid*

Please indicate payment method*

Paid direct into Summit GTG account: Sort Code- 20-78-42 Account – 93200817
Paid by card to Summit GTG on: Telephone No - 01535 661776

Candidate Signature*

Date*

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