Course Booking

Please provide us with as much detail as possible, in order to attend to your booking promptly.

Fields marked with an * are required fields. Mark with N/A if not applicable.

Name & Surname*: (please check correct order and spelling as this is how your name will appear on your certificate)

Phone Number:

Email Address*:

Province*:

If non-RSA, please tell us where you are from:



I want to make a booking for the following course(s)*:
(to select more than one course, press CTRL while selecting each course name)



Please provide us with a short summary of your Agile experience*:



Dietary Requirements (non-virtual classes):

Where did you hear / read about the course?*



BILLING / INVOICING DETAILS
Non-South African customers will be billed through PayPal. Please provide us with your PayPal email address.

For customers from South-Africa, Africa and other developing countries:
How will the course fee be funded?



For Employer or 3rd Party funding, please provide us with the following invoice details:
Name to reflect on invoice / Employer Name:

Invoice Address:

VAT number (if you require a VAT invoice):



Message:

Thank you for registering to attend a course with Centre for Agile Coaching.

Fields marked with an * are required fields.

Refunds and Cancellations - Terms and Conditions.



COVID-19: Stay up to date with the situation regarding COVID-19 in South Africa. Click to visit the official homepage for more information.

View
X
Scroll Up