healthyliving award

 

healthyliving award Registration Form

Please note - we are only able to accept applications from businesses with outlets in Scotland.
Fields marked * are mandatory    
Name of contact person:*  
Position:*  
Name of contract caterer (if any):  
Address:*  
Postcode:*  
Telephone number:*  
E-mail:  
Number of outlets:*  
Is your outlet(s)*  

Open to the public.

Restricted access.
How did you hear about the healthyliving award?  
Multi-site applications only:    
If you have more than one outlet, please indicate where starter packs should be sent to:  
Would you like starter packs to be issued (select one):  

As information becomes available for each site.

Once all information has been received for all sites within your group.


Food Hygiene Information Consent

By completing this section of the form you are giving consent to allow the healthyliving award to obtain information from your Local Authority Environmental Health Services about the food hygiene standards of your establishment.

The person who completes this form should be the person in overall charge of the catering premises seeking an award.

If you are applying for more than one site you must complete a consent form for each site. Once you submit this form you will get the opportunity to complete another.
Name of establishment:*
Address:*
Postcode:*
On-site contact:*
Position:*
Date (dd/mm/yy):*
Telephone number:*
Email:
Total number of customers served each day (on average):*
Type of establishment:*
I give consent to you obtaining information as stated above (tick box):*