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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







Medical Information - Please make aware any medical or mental health issues



Medical contact details - Name and contact number



Any further info



Your full up to date address including Postcode



Are you human, what is 10-7= ?