Name

Business Name

Email Address Date you became a Celebrant

Telephone Number

Month Month *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Year

Confirm Confirm I confirm I have read the Community Charter and I agree to abide by it. Click to view

Your Celebrant Training There are three reasons we ask for your celebrant training details:

Your Celebrant Training 1 1. To assess your suitability for the Civil Celebrant Connection Community

Your Celebrant Training 2 2. To create conferences and workshops that will be of most benefit to our community

Your Celebrant Training 3 3. In case of an insurance claim

Info All your information will be stored securely.

Privacy Click here to see our Privacy Policy

Training and Qualifications Training and Qualifications Skip this section and tell us later

Training Please List the celebrant and related professional training you have taken:

Course Title

Training Provider and date completed

Course Title 2

Training Provider and date completed 2

Course Title 3

Training Provider and date completed 3

Course Title 4

Training Provider and date completed 4

Course Title 5

Training Provider and date completed 5

Professional Celebrant Qualifications Please list your professional celebrant qualifications (e.g. Level 3 Diploma in Funeral Celebrancy) and Awarding Body (e.g NOCN, City & Guilds)

Professional Celebrant Qualifications

Training Provider and date qualification awarded

Professional Celebrant Qualifications 2

Training Provider and date qualification awarded 2

Professional Celebrant Qualifications 3

Training Provider and date qualification awarded 3

Professional Celebrant Qualifications 4

Training Provider and date qualification awarded 4

Professional Celebrant Qualifications 5

Training Provider and date qualification awarded 5

Notes Please add any additional information you feel is relevant:

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