Please fill in the following form. After you have filled in this form you will be directed to the Direct Debit form.

First Name

Surname

Date of Birth

Mobile

Email

Class you are joining

How many classes are you doing per week

Select day / days that you are attending on a regular basis
Mondays

Wednesdays

Thursdays

Fridays

Medical Information - Please make aware any medical or mental health issues
None

Medical contact details - Name and contact number
Name and Mobile please

Any further info
Any feedback here please

Your full up to date address including Postcode
Full address please

Are you human, what is 10-7= ?