Full name of child
Date of Birth
Nationality
Religion
Name of parent
Mobile telephone number
email address
Other languages spoken at home
Does your child have any allergies? Please state:-
PLEASE MARK REQUESTED CLASS
Suitable for children aged 9 months to 4 years
Payment is by Direct bank transfer to Lloyds Bank Sort code 30-97-73, Account number 37995868
When both payment and registration form have been received the booking will be confirmed. No refunds are possible after this point unless the lesson has to be cancelled, in which case a full refund will be given.