Private Group Training – Plan to Protect

Today's Date

Have you Spoken with any Plan to Protect^® staff member about this training or event?

Name of Organization

Your Name

Your Title/Role at the Organization

Your Phone Number

Your Email Address

Type of Training

Orientation (2-2.5 hrs) Refresher (1-1.5 hrs) Special Interest Topic (45 min - 1.5 hr)

If a plenary, webinar or seminar on a specific topic, what topics are you hoping to address?

Would you like to take a break halfway through the training?

yes no

Location of Training (Please note, travel expenses apply to on-site speaking and training events)

On-site Private Webinar

If On-site please provide address of location

Time of Day

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

Audience

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. Some exceptions may apply to plenary and seminars based on the topic. Please speak to our Resource Manager.

Yes, I understand that we are not to record the training.

Training Equipment - Please indicate if you have the following training equipment.

LCD Projector Screen Sound system (Speakers) Microphone

Attendance - Please note: it will be your responsibility to note attendance and retain that 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 not 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^® 3950 14th Avenue, unit 508, Markham, ON L3R 0A9, 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 Yes, I do give my consent for all e-communication No, I do not give my consent

On-site and Private Webinar Training and Speaking Booking Form

October Membership Special