Name *

First Name

Last Name

Phone

(###)

###

####

What days/s you would like to attend our free class

Monday 6th May, 10am - 10.45am

Tuesday 7th May, 10am - 10.45am

Wednesday 8th May, 10am - 10.45am

Thursday 9th May, 10am - 10.45am

Friday 10th May, 10am - 10.45am

Would you like to attend our Creative Play Sessions?

Sure!

No thanks

If you ticked yes, which day/s would you like to stay for the Creative Play Session?

Monday 6th May, 11am-11.30am

Tuesday 7th May, 11am-11.30am

Wednesday 8th May, 11am-11.30am

Thursday 9th May, 11am-11.30am

Friday 10th May, 11am-11.30am

Do you have any access requirements you would like us to be aware of?

Yes

No

If you ticked yes, how would you prefer to discuss these requirements

Please call me

Provide me with a number and I'll call you

Email

I'll add a note below