Hi {{ booking.person.first }},
We'd just like you to confirm your details so that we can prepare your certificate correctly.
We'd love it if you could rate our course and it's content.

Your personal details

Please complete as much information as you are comfortable providing. We don't share your personal information with anyone.

Your Details

First Name

Last Name

Date of Birth

Required for NZQA reporting and auditing

NSN

Required for NZQA reporting and auditing

National Student Number (NSN) is required for us to lodge credits to this persons record of learning. If you are unsure what the number is please call NZQA: 0800 697 296 to request the NSN

Reminders

Yes, I would like to receive email reminders when my qualification is about to lapse.

No, I DON'T want to receive email reminders when my qualification is about to lapse.

Contact Information

We are required to capture your Email and Mobile for contact tracing.

Phone

Mobile

Address

Address 1

Address 2

Suburb

City/Town

Postcode

Province

Country

Testimonial

We'd love it if you would rate our course and leave a testimonial for our website.
Your testimonial will appear on our website under the name: {{ booking.person.first }}

Your Rating

Please give your course a rating out of five

Rating

You haven't given us a rating yet You gave us {{ rating.rating }} stars!

Your Testimonial

Give us some feedback on your course

Referrals

We hope that you enjoyed your course. Do you know anyone who would benefit from one of our courses?
Every referral goes into a draw to win some cool first aid swag!

You'll have {{ rating.referrals.length }} chances to win this month!

Referral #{{ $index+1 }}

Name

Organisation

Phone

Mobile Home

Notes

Thanks for the feedback, we look forward to seeing you again soon.