Your name Your phone Your email Student's name Student's DOB Student's gender MALEFEMALE What School does the student attend? (not applicable for Adults) Do you/your child suffer from any medical disorder i.e. Asthma, Diabetes, Epilepsy, Allergies etc? YES / NO (If yes please state) Please select which class you are enquiring for from the below list (See location page for more information) —Please choose an option—The Centre, Farnham Road, Slough, Berkshire SL1 4UTClaycots Primary School Townhall Campus, Bath Road, Slough SL1 3UQCippenham Primary School, Elmshott Lane, Slough, SL1 5RBWycombe Leisure Centre, Handy Cross, High Wycombe HP11 1UPWolf Fields Primary School, Norwood Road, Norwood Green, Southall, Middlesex UB2 4JSKingsley Academy, Prince Regent Road, Hounslow, Middlesex TW3 1AXDormers Wells Leisure Centre, Dormers Wells Lane, Southall UB1 3JB How did you hear about us? Online searchFriend referral (please mention name in message below)LeafletBannerSocial mediaOther Your message (optional)
