On-site and Private Webinar Training Booking

• • Today's Date*
    MM

    DD

    YYYY
  • Name of Organization*
    Please do NOT use acronyms, please spell out the full name of your organization.
  • Your Name*
    First Name

    Last Name
  • Your Title/Role at the Organization
  • Your Phone Number*
     
  • Your Email Address*
     
• Training Information
  • Type of Training*
    Orientation (2-2.5hrs)

    Refresher (1-1.5hrs)

    Special Interest Topic (45min-1hr)
  • Would you like a break halfway through the training?
    For Orientation Training Only
    Yes

    No
  • Location of Training*
    On-Site

    Private Webinar
  • If On-site, please provide address of location
    Street Address

    Address Line 2

    City

    Province / State / Region

    Postal Code / Zip

    Antigua and BarbudaBahamasBarbadosBelizeCanadaCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColumbiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGuineaGuinea-BissauCôte d\'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe

    Country
  • Month for Training*
    Please indicate what month(s) you want the training to take place.
    January

    February

    March

    April

    May

    June

    July

    August

    September

    October

    November

    December
  • Day for Training*
    Please indicate what day(s) of the week would work for your training.
    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday
  • Time of Day*
    Please indicate what day(s) of the week would work for your training.
    Morning

    Afternoon

    Evening
  • If there is a specific combination of days and times that you are looking for, please indicate them here.
  • Approximate number of people attending.*
    Final numbers for billing are needed two weeks in advance for all On-site training, as well as for private webinars when purchasing pocket guides and certificates.
  • Audience*
    Children's Workers

    Youth Workers

    Youth working with Children (12-16yrs old)

    Vulnerable Adult Workers

    Leaders & Others
• Other Information
  • If you have current policies that you would like the trainer to incorporate into the training please upload them here.
     
  • Copyright Protection*
    The training provided is copyright protected as our intellectual property. Please acknowledge your understanding and agreement that the training may NOT be audio or video recorded.
    Yes, I understand that we are not to record the training.
  • Training Equipment*
    Please indicate if you have the following training equipment.
    LCD Projector

    Sound System (speakers)

    Microphone

    Screen
  • Attendance*
    Please note: it will be your responsibility to take attendance at the training and retain that list for your files.
    Yes, I understand that it is our responsibility to note attendance and retain that for our files.
• Consent

  For our Canadian Clients: With Canada's anti-spam legislation we are required to obtain your consent to send you electronic communications. We do need express permission from each individual within an organization that we are communicating with.
  
  You may unsubscribe or withdraw your consent at any time by contacting us at Plan to Protect® 117 Ringwood Dr., Unit 11, Stouffville, ON L4A 8C1, or emailing us at info@plantoprotect.com.
  • Please confirm your consent to receive electronic communications from Plan to Protect® as described.
    Yes I do give my consent for Monthly e-Newsletters only

    Yes I do give my consent for all e-communication

    No I do not give my consent
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