Emergency Response First Aid Training

Emergency Response First Aid Training - Registration

CKS Community Centre, Omagh // Thursday 19 November 2026 // 7-10pm
Section 1

Course Overview
Training includes:
- Action at an Emergency
- Primary Assessment
- Secondary Assessment
- Principles of Resuscitation (CPR)
Please note, there a maximum of 12 places available and will be allocated on a first come, first served basis. The submission of an application form is not a guarantee of a place.

A confirmation email will be issued to successful applicants after registration has been reviewed and payment processed. If you have any questions or queries please contact: ryan.hanna@fermanaghomagh.com
Section 2

Applicant Information
Name

First NameLast Name
Are you a member of a Community Group / Sports Club?
If yes, please specify Community Group / Sports Club (if applicable)
Gender
Please select option via drop - down menu
Age (at time of application)
Minimum age 14 years old. Applicants aged 14-17 must get parental consent - see Section 6.
Address

Address Line 1

Address Line 2

TownCounty

Post Code
Phone Number

Area CodePhone Number
Mobile Number

+44Number
Email
Do you consider yourself to have a disability?
Please select option via drop - down menu
If yes, please specify the nature of the disability
Do you require any reasonable adjustments or support to enable you to participate fully in the training?
Do you have any medical conditions, allergies or health concerns that the course facilitator should be aware of?
Please select option via drop - down menu
If yes, please specify medical conditions below
Section 3

Emergency Contact Information
Name

First NameLast Name
Mobile Number

+44Number
Relationship to the Applicant
Section 4

Photography Permission
Photographs may be used by Fermanagh and Omagh District Council for promotional and reporting purposes including social media, printed publications and the Council website

Please indicate below (by selecting ‘Yes’ or ‘No’) whether permission is authorised in relation to the participant outlined above (Section 2) to be photographed whilst participating in activities associated with the training course.
Photography Permission (Yes or No)
Please select 'Yes' or 'No' via drop - down menu
Section 5

Terms and Conditions
The training course will only proceed if the minimum number of paid applications are received prior to the closing date.

Please note, once paid, the course fee is non–refundable or transferable.

Fermanagh and Omagh District Council reserves the right to cancel the training course, if required. In this case, a refund or alternative course date will be offered.
Please select 'Yes' from the drop - down menu to acknowledge that you have read and understood the Terms and Conditions as outlined within Section 5.
Terms and Conditions Acknowledgement
Please select 'Yes' from the drop - down menu
Section 6

Parental Consent required if applicant is aged 14-17 years old
Relationship to the Applicant
Name (if different to Section 3 - Emergency Contact Information)

First NameLast Name
Mobile Number (if different to Section 3 - Emergency Contact Information)

+44Number
By signing below, I give my consent for the applicant to participate in Emergency First Aid training course, and I agree to the Terms and Conditions
Section 7

Data Protection
In accordance with the Data Protection Act 2018, Fermanagh and Omagh District Council has a duty to protect the information we hold on you. The personal information you provide on this form will only be used for the purpose of the training course and the communication of further information. Information will be shared with course facilitator(s) however, this information will not be shared with any other organisations unless law or regulation compels such a disclosure.Information will be retained in accordance with the Council's retention schedule.

For further guidance please visit www.fermanaghomagh.com/your-council/privacy-statement
Section 8

Payment
By proceeding to payment, you hereby agree to the Terms and Conditions outlined and confirm that the information provided is accurate and correct.

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Emergency Response First Aid Training - Registration

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6

Section 7

Section 8

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