Registration Form An adaptation of our training for people with disabilities is possible, so please do not hesitate toContact our disability advisor, Ms Tauvry, on 06 76 74 17 40 to arrange any necessary specific equipment. Your structure Do you have a structure? * Yes No A structure * Publish Private Establishment Name * Establishment address * Institution email * Establishment phone * The intern Sir or Madam Sir Madam NOM * ALL CAPS First name * Telephone * Email * Training Training title * Training venue * Training start date * End date of training * Cost of training * Support * FAFCEA OPCO National Identity Number France Travail Staff Other Further support Read and approved * I have read and I approve the Internal regulations of the training centre, the Terms and Conditions of Registration and Training Agreement and the Training protocol Submit my registration request