-Booking Form 1

    Your Name (required)

    Address (required)

    Postcode (required)

    Your Email (required)

    Contact phone number (required)

    My booking is for:
    One-hour Heartstart courseTwo-hour Heartstart course

    Date and time of the Heartstart course you wish to book:

    Number of places required (please indicate if you are a family or domestic group for seating arrangements to ensure social distancing):

    Data is collected for the purposes of support of England's Trace and Test initiative and will be held securely for 21 days and then destroyed. The data will not be used for any other reason. Herefordshire Heartstart is compliant with GDPR (General Data Protection Regulations) guidelines.