ST JOHN AMBULANCE QUEENSLAND
ONSITE BOOKING FORM
All participants’ details must be provided 10 days out from the course commencement date.
Company Details
Company/ Organisation
ABN
Contact Name
Contact Phone
Postal Address
Billing Address
Email for Invoice
Accounts Payable Contact #
Training Venue Details -
your venue or ours!
Booking Contact Name
Booking Contact Number
Booking Contact Email
Venue Name
St John Venue
Venue Address
Venue Contact Name
May be contacted from 7:00AM on the day of training
Venue Contact Phone
May be contacted from 7:00AM on the day of training.
Venue Contact Email Address
Venue & Training Facilities Please tick the boxes relevant to your venue.
Should you be unable to meet all criteria, we will recommend using a SJQ venue
Venue has a TV bigger than 60 inches.
Trainer will have the ability to plug their laptop into the TV or projector via HDMI.
Training room is on the ground level or higher (not in the basement).
Participants have access to a mobile phone to complete the assessments.
Venue is in good standing, hygienic and comfortable.
Floorspace will enable participants to kneel and perform CPR on the floor.
Special requirements
Parking available for trainer
Onsite (Free)
Onsite (Paid)
Street (Free)
Street (Paid)
Details for Parking & Building Access
Training Required
– please nominate your preferred course, course dates and course times below.
Note: Course bookings are to be made 8 weeks in advance
.
Course Name
Number of courses required
Number of Participants
(max 18 per class)
Date Preference 1
Time Preference 1
Date Preference 2
Time Preference 2
Training Required
– please nominate your preferred course, course dates and course times below.
Note: Course bookings are to be made 8 weeks in advance
.
Course Name
Number of courses required
Number of Participants
(max 18 per class)
Date Preference 1
Date Preference 2
Contact Information