PICS Learner Management System : Applicant Sign Up : Racing Secretary Course

Title

First Names *

Surname *

Date of Birth *

Sex

Telephone *

Mobile

Email *

Address *

Address 2 *

Address 3 *

Address 4

Postcode *

Allowed Contact Methods

Preferred Contact Method

Next of Kin Name

Next of Kin Email

Next of Kin Phone

Job Title: *

Name of Employer: *

Telephone Number: *

How long have you worked there? *

Please give a brief description of your current duties: *

Please give a summary of your previous experience within the Racing Industry: *

What do you hope to gain from attending this course? *

Please select which course date you would like to apply for: *

Will you be requiring accommodation? *LIMITED ACCOMMODATION AVAILABLE FOR OCTOBER 2025, *

Please indicate if you have any special Dietary Requirements: *

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