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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


Date of Birth



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= ?