FTA ENQUIRY FORM
FTA LEISURE ENQUIRY FORM
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indicates required fields
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CONTACT NAME:
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PUPIL NAME & AGE:
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ADDRESS & POST CODE:
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CONTACT PHONE NUMBER:
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LOCATION PREFERED:
Broadfields School - Swimming
Barnmead Pavilion - Kids Club
Burnt Mill School - Swimming
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DAY PREFERRED:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Monday to Friday
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TIME PREFERRED:
8am / 8.30am
9am / 9.30am
10am / 10.30am
11am / 11.30am
9.30am / 12pm
4pm / 4.30pm
5pm / 5.30pm
6pm / 6.30pm
Swimming Lessons
After School Kids Club
All Day Holiday Club
Pre School Kids
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SERVICE TYPE:
Childrens Lessons
Baby Lessons
Crash Courses
Aquafit / Water Aerobics
After School Club
Holiday Kids Club
Pre-School Kids
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COURSE / PERIOD REQUIRED:
W/C 7th June 2010 - Lessons
W/C 16th August 2010 - Lessons
Summer 2010 - Holiday Club
October 2010 - Holiday Club
3pm - 6.30pm After School Club
8am - 6pm Holiday Club
Ladies Aquafit Class
Pre-School Kids
EMAIL ADDRESS:
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WHERE DID YOU HEAR ABOUT FTA:
Friend / Relative
Newspaper Advert
Flyer / Leaflet
Yellow Pages
Other
ANY OTHER INFO RELEVANT:
Please click on the Submit button to submit the form details.
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