COURSE INFORMATION: Course Name(*) --- Select ---Dogging (DG)Forklift (LF)Overhead CraneBasic FireBasic Rigging (RB)Non Slewing Crane (CN)Elevated Work Platform (WP)Working Safely At Heights (WSH)Confined Space Training (CS)Gas Test Atmospheres (GTA)Cert IV Work Health Safety Please select a course. Location(*) --- Select ---BelmontKununurraPlease select a location. Date of Course(*) Please enter a date. Click here to see a list of available course dates. STUDENT INFORMATION: Surname(*) Please enter your surname. First Name(*) Please enter your first name. Date of Birth(*) Please enter your date of birth. Gender(*) MaleFemalePlease select your gender. CONTACT DETAILS: Email Address Please enter your email address. Phone Number Please enter a valid phone number. HOW DID YOU HEAR ABOUT THIS COURSE? Advertising --- Select ---FacebookOnline SearchNewspaperFamily/FriendsRadioThrough WorkE-NewsletterInvalid Input DO YOU ACCEPT OUR TERMS AND CONDITIONS? I agree to the terms and conditions of this application.To complete this application, you must agree to our terms and conditions Please tick the box displayed below(*) Please tick the box. Register <script type="text/javascript">ajaxExtraValidationScript[8] = function(task, formId, data) {var formComponents = {};formComponents[91]='courseName';formComponents[82]='courseLocation';formComponents[83]='courseDate';formComponents[85]='surname';formComponents[86]='firstName';formComponents[101]='dateOfBirth';formComponents[88]='gender';formComponents[98]='homePhone';formComponents[100]='emailAddress';formComponents[111]='advertising';formComponents[106]='termsAndConditions';formComponents[120]='recaptcha';if (task == 'afterSend') { var ids = data.response[0].split(','); for (var i=0; i 0) { for (var j=0; j
