Qualification Registration Form Title*Please SelectMrMrsMissMsGender*MaleFemaleName (as you want it to appear on your final certificate)*NationalityDate of Birth* Date Format: DD slash MM slash YYYY Student full home address*Student Email Address* Student Telephone Number (Mobile)*Student Telephone Number (Home)Emergency ContactTitle*Please SelectMrMrsMissMsFull Name*Relationship to Student*Telephone Number (Home)Telephone Number (Mobile)*Address*Training Centre DetailsWhich training centre are you registering with?*If this training centre has more than one site, please state the name of the site applicable*Special RequirementsTO TICK ANY OF THE BOXES IN THE SPECIAL REQUIREMENTS SECTION YOU MUST HAVE WRITTEN EVIDENCE FROM THE APPROPRIATE MEDICAL SECTOR. PLEASE EITHER EMAIL OR POST COPIES TO SUMMIT GROOMER TRAINING GROUP.Do you have any particular assessment requirements? Please tick as appropriate:* No Visual Impairment Physical Impairment Sensory Impairment Language Barrier Other Do you have any particular assessment requirements? - OtherIf you have special requirements please identify which aids would assist during your assessment: Extra time for your assessment Reader Font Size Text Type Page Colour Physical, technical or mechanical aids Please briefly provide any extra detail, if necessaryTraining & QualificationWhich City & Guilds qualification are you registering for?* 7763 - Level 2 Dog Grooming Assistant 7863 - Level 3 Diploma in Dog Grooming 0146-21 Dog Walking 0146-20 Pet Sitting If you have selected 7863 - Level 3 Diploma in Dog Grooming, have you successfully completed the Level 2 Dog Grooming Assistant* No Yes I didn't select 7863 Level 3 Diploma in Dog Grooming If you selected 7863 - Level 3 Diploma in Dog Grooming, what is your City & Guilds registration number? If you didn't select 7863 enter N/A*Expected course start date Date Format: DD slash MM slash YYYY Expected completion date Date Format: DD slash MM slash YYYY Terms & ConditionsThe school you have registered with should have provided you with a contract outlining your City & Guilds training; what you can expect from the course; how it is delivered; over what time period and how you will be assessed. At the beginning of the course, you will be provided with an induction and an Individual Learning Plan which outlines your training, documented reviews and feedback regarding your progress, assessments and assignments for the City & Guilds 7763 and 7863 dog grooming courses. You can expect to be given a student information pack including all the assessments and assignments you will need to complete during your training. You will be expected to have completed your assignments by the end of your course. You will receive a certificate once you have fully completed and passed the Introductory qualification and fully completed and passed the Diploma qualification. Please note: a salon certificate is NOT a City & Guilds certificate. Summit Groomer Training Group operates a dispute resolution procedure in line with City & Guilds requirements. Should you need to refer to this, please ask your school for a copy, or contact Summit for further details. I understand that this application is for admission only for the qualification/s indicated. I agree to the release of any transcripts and results. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application will result in disciplinary action. I understand that my chosen school will pay Summit Groomer Training Group the registration fee for this City & Guilds course and exams and that this is a non-refundable fee.Do you understand and agree to the terms stated above?* Yes Date terms accepted* Date Format: DD slash MM slash YYYY SignatureCAPTCHAEmailThis field is for validation purposes and should be left unchanged.