B.D.A. Training: Open Educational Courses

Booking Form for Higher Education

Bookings are subject to our terms and conditions. See our website www.bdadyslexia.org.uk

Delegate Details:

Title / Forename(s) / Surname
Delegate name
Address of University / Organisation
Postcode
Telephone number
Emergency mobile no.
(important in case of poor weather, transport difficulty, etc.)
Email address*
*IMPORTANT: please ensure that the named delegate has unrestricted access to the email address you provide, as confirmation for all courses will be sent to this email address.
Do you have any specific dietary or disability requirements? / Yes ☐ / No ☐
If ‘Yes’, state your specific dietary or disability requirements (e.g.: vegetarian / wheelchair user):

Course dates:

Please provide us with a first and second choice of dates for each course that you wish to attend, including the venue and date for each. We will endeavour to allocate you a space on your first choice of course date, however places are reserved on a first come, first served basis.

Course / Venue / Date
Choice 1 / Choice 1
Choice 2 / Choice 2
Choice 1 / Choice 1
Choice 2 / Choice 2
Choice 1 / Choice 1
Choice 2 / Choice 2
Choice 1 / Choice 1
Choice 2 / Choice 2
Choice 1 / Choice 1
Choice 2 / Choice 2

Course fees:

Please tell us how many places you require on each course.

Course cost / Places rqd / TOTAL £ / Associated Books
Practical Solutions for Higher Education / £190 / C, D, G, J
Screening for Dyslexia (Post-16s and adults) / £140 / --
Practical Solutions Plus
(Reading, Spelling or Writing) / £140
per day / H
Accreditation Fee - Level 2 in Dyslexia Awareness, Support & Screening
*** See note below / £250
inclusive of T60 £12 reg. fee / C, G
Accreditation Fee - Level 3 in Dyslexia Awareness, Support & Screening
*** See note below / £350
inclusive of T60 £12 reg. fee / C, G

*** Please ensure that you book all the relevant training courses as well as the accreditation fee if you wish to undertake a qualification

BDA Books

These books are not mandatory but will enrich your knowledge of the topic and copies are available in PDF format. For further information on, or to purchase these publications and our annual handbook, please visit www.bdastore.org.uk

Title*
C / Dyslexia and Co-occurring Difficulties
D / Dyslexia and Parents
F / Maths Learning Difficulties, Dyslexia and Dyscalculia
G / Dyslexia and Useful Technology
H / Dyslexia, Languages and Multilingualism
I / Music, other Performing Arts and Dyslexia
J / Tips for the Dyslexic Adult

Method of Payment: please include all courses and books ordered in your total

Cheque (please make payable to the B.D.A) / ☐ / Card / ☐ / Invoice / ☐
Purchase Order Number
(if required): / Total amount to be paid: / £
Invoice email address (please note we operate paperless billing):

Please note that payment is due within 30 days of the invoice date and must be paid 14 days prior to the delegate attending the training event.

If payment is not received then we reserve the right to cancel your booking.

Credit Card Payment: please fill out the form below

Credit / Debit Card Payments
Please debit my account for the amount: / £
Card type: / Visa ☐ / Mastercard ☐ / Switch/Maestro ☐ / Delta ☐
Please provide card number & details:
For Maestro cards insert the whole of the long number which appears across the middle of the card
/ / /
Valid From Date / Valid To Date / Switch / Maestro Issue No. / Switch / Maestro
Start Date
Name as it appears on the card:
Cardholder’s signature: / Date:

How your information will be used:

By completing this form you are agreeing for us to administer your booking and where necessary share your information internally within the B.D.A. and with external organisations involved with your booking.

From time to time we may like to send you information about our own products and services that you might be interested in, by post, telephone, email and SMS. We will not pass your information on to any organisation external to the B.D.A.

If you agree to being contacted in this way, please tick the relevant boxes to indicate all of the means by which you would like to be contacted: Post Telephone email SMS

The B.D.A.is committed to protecting your personal data please see our Privacy Policy on our website at: http://www.bdadyslexia.org.uk/about/bda-privacy-policy

If you need any further information please write to us at:

Where did you hear about B.D.A. training services:

B.D.A. website / B.D.A. Helpline / Postal / paper flier
email flier / Social media / Recommendation
Other (please specify)

TO BOOK TRAINING: Please return this form by email to or by post to Training Department, British Dyslexia Association, Unit 6a Bracknell Beeches, Old Bracknell Lane, Bracknell, RG12 7BW.

www.bdadyslexia.org.uk Tel: 0333 405 4565 and Fax: 0333 405 4570

Registered Charity Number 289243 Company registered in England and Wales 1830587

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