Adult Enrolment Page

Adult Registration

Please tell us your full name. :*
What is your date of Birth?:
Please tell us your contact number (for updates and cancellations) :*
Please give us the name and contact number for an emergency contact or next of kin.:*
Please tell us your first line of your address and post code.:
Do you have any medical conditions. Please List. :*
Please list any medication you are currently taking.:*
What is your email address?:*
Are you happy for us to send you any updates via email?:
- Yes
- No
Do you give us permission to film and take photo's of you within our lessons, for use on our social media pages, websites and potentially ad campaigns:
- Yes
- No

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