File - Gateau Box

OFFICE USE ONLY (Participant I.D.)
Manet Cottage, Spintex
Course Registration Form
Please contact courseadmin@gateaubox.com or call 0505785115 with any enquiries.
PERSONAL DETAILS
Title
Dr.
Mr.
Mrs.
Miss.
Ms.
Surname
Other
Gender (please tick)
Male
Female
First name
Date of birth
D
D
/
M
M
/
Y
Y
Y
Y
Home address
(Please include
landmarks)
Postal address
Contact number/s
Email address
Who should we contact in case of an emergency? Please provide details of two persons.
1.
Name
What is your relationship to
this emergency contact?
2.
Person’s contact number
Name
What is your relationship to
this emergency contact?
Person’s contact number
PLEASE TICK WHICH COURSE/S YOU WISH TO STUDY (For course numbers one, two and three only choose one.)
1.
Fresh Cream Cake Making - For Learners With Cake Decorating Experience; Duration is one (1) Saturday – GHC950..... .
2.
Gateau Box Special Treat Making Course- Suitable For Beginners; Taught over five (5) Saturdays - GHC1,950......... .
3.
Gateau Box Special Treat Making Course- Suitable For Beginners; Taught over one (1) week (Mon – Fri) – GHC1,950.... .
4.
Cheesecake Making (New York Style; Baked and Unbaked) – Duration is one (1) Saturday – GHC850....... .
5.
Edible Printed Chocolate Making; Duration is two (2) Saturdays – GHC1,250…… .
EDUCATION
Please indicate your highest level of education
No Education
Advanced Level
Primary School
Degree
JHS
Master
SHS
PhD
Ordinary Level
Other (please provide details)
EMPLOYMENT STATUS
Please indicate your current employment status
Employed
Self-employed
Unemployed
Business Owner/founder
If employed please state employer details (optional; but compulsory if your employer is paying for course)
Employer name
Address
Contact number
Your position/title
COURSE/S AVAILABILITY
Gateau Box reserves the right to postpone the start date of a course or discontinue it. Where a course is cancelled by
Gateau Box, any fees paid by the student will be refunded in full.
PARTICIPANT DECLARATION
How did you hear about Gateau Box?
Website
Facebook
Friend/Family
Twitter
Other (please give details)
Student signature
Date
OFFICE USE ONLY
SESSION DATE
AMOUNT PAID
PROCESSING OFFICER: Full Name
CHEQUE / CASH / MOBILE
MONEY / BANK ACCOUNT
Signature
NOTE