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Contact Us
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Training Registration Form
To book you training, please fill in the form below:
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Operator's Name
*
Contact Person at the venue's name
First
Last
Contact Person's Email address
*
Cell Number
*
Telephone Number
*
Address of venue
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Level of training required
*
Select Option
Responsible Gambling 101 for Licenced Operators
Responsible Gambling 102 for Licenced Operators
Responsible Gambling 103 for Licenced Operators
Responsible for Gambling Regulator Employees
Responsible Gambling for Public Sector Employees
Responsible Gambling for Social Workers and Healthcare Professionals
Responsible Gambling for Educators
Responsible Gambling for Religious Groups and Faith Based Advisors
Responsible Gambling for LPM
Training Offering
*
Select Option
Responsible Gambling 101
Responsible Gambling 102
Responsible Gambling 103
Gambling Regulator
Responsible Gambling for Healthcare Professionals
Public Sector Employee
Educator
Number of employees to be trained
*
10 - 15
15 - 20
20 - 25
25 - 30
35 - 40
40 - 45
45 - 50
Minimum Number 10 and Maximum Number: 50 Employees
Number of Training Sessions
*
One
Two
Preferred time slot/s for training
*
First-09h00
Second – 13h00
Request for Virtual or Face-to-face training
*
Select Option
Virtual
Face-to-face
Do you have a training facility?
Yes
No
How many people does it accommodate?
Describe the sitting arrangement
Boardroom
Classroom
Cinema
Do you have a flip chart or white board that can be used during training?
*
Yes
No
Do you have a projector for facilitators use?
*
Yes
No
Please indicate any special need requirements for your learners
None
Hearing Impairment
Vision Impairment
Physical Impairment
Briefly explain what is required to assist the learner during training.
Own device
Select Option
Yes
No
Please indicate if each learner will have own laptop or smart phone or if session will be done using one laptop and projected onto screen
Do you have access to Microsoft Teams For interactions with the facilitators.
Yes
No
Please indicate if each learner will have own laptop or smart phone or if session will be done using one laptop and projected onto screen
Contact Person
First
Last
Contact Number
Contact Person's Email
Please provide 1st preferred date
*
Date
Time
Please provide 2nd preferred date
*
Date
Time
Please provide 3rd preferred date
*
Date
Time
Terms and Conditions
*
• I understand that the information as provided above will be used for the arranging of training sessions. Should amendments be required I agree to notify the SARGF as soon as possible. Cancellation of training sessions must be done at least two working (week) days in advance of the training session. Failure to do so may result in fruitless and wasteful expenditure incurred being recouped from the operator. I agree to the abovementioned terms and conditions in terms of the arrangements for training as facilitated by the SARGF.
POPIA Consent
*
• By clicking here, I hereby consent to the following: I acknowledge that the South African Responsible Gambling Foundation (“SARGF”) will process my personal information in terms of the Protection of Personal Information Act, No. 4 of 2013 (“POPIA”). I hereby consent to the SARGF processing my personal information as it appears on this form for the purposes of its internal reporting and reporting to my employer. I further acknowledge that the SARGF may share personal information with other regulatory bodies and agree that my consent extends to include such sharing. In terms of POPIA, the SARGF is obligated to provide you with certain information relating to the processing of your personal information at the time we collect it from you. We therefore advise as follows: We are required to process your personal information to fulfil our regulatory mandate. Any such personal information is provided by you on a voluntary basis. If you do not provide us with your personal information, it may prevent us from fulfilling our legal obligations in terms of applicable legislation. You have the right to request access to and correction of your personal information as well as to object to the processing of your personal information. We will delete or de-identify personal information that it has collected from you if it is no longer required to be retained. You have a right to lodge a complaint with the Information Regulator via email at POPIAComplaints@inforegulator.org.za. Our processing of personal information will be in line with applicable legislation including POPIA.
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