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Booking Information
Name:
*
Baby's Name:
*
Baby's Date of Birth:
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Contact Number:
*
Email Address:
*
Any medical information about your child you feel the instructor would benefit from knowing:
Course start date and venue:
11.00am Tuesday 5th January 2021- St James Woodside Church, Horsforth- FULLY BOOKED
12.10pm Tuesday 5th January 2021- St James Woodside Church, Horsforth- FULLY BOOKED
10.00am Wednesday 6th January 2020- St James Woodside Church, Horsforth- FULLY BOOKED
12.20pm Wednesday 6th January 2020- Oakwood Church, Oakwood FULLY BOOKED
1.30pm Wednesday 6th January 2021- Oakwood Church, Oakwood - FULLY BOOKED
11.30am Thursday 7th January 2021- St James Woodside Church, Horsforth- FULLY BOOKED
12.45pm Thursday 7th January 2021- St James Woodside Church, Horsforth- FULLY BOOKED
11.00am Tuesday 23rd February 2021- St James Woodside Church, Horsforth- FULLY BOOKED
12.10pm Tuesday 23rd February2021- St James Woodside Church, Horsforth
10.00am Wednesday 24th February 2021- St James Woodside Church, Horsforth
12.20pm Wednesday 24th February-Oakwood Church, Oakwood
1.30pm Wednesday 24th February 2021- Oakwood Church, Oakwood
11.30am Thursday 25th February 2021- St James Woodside Church, Horsforth
12.45pm Thursday 25th February 2021- St James Woodside Church, Horsforth
How did you hear about us?:
*
Please choose one of the following…
Poster/Flyer
Internet Search
Facebook Advert
North Leeds Mumbler
Friend whose attended previously
Friend whose attending with me
Other
If other please state:
Do you agree to being contacted by NHS Track and Trace should anyone within your group test positive for coronovirus? (Face To Face classes only):
Yes
No
Do you agree to being contacted by Bliss4Baby with future course information and special offers?:
Yes
No
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