Taster

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Parent Name(Required)

Trial Venue (subject to availability)(Required)

Orsett Heath Academy Saturday (Grays)

Orsett Heath Academy Sunday (Grays)

Phoenix Primary School (Langdon Hills)

Chapel Hill School (Basildon)

Laindon Community Centre (Laindon)

Mossbourne Fobbing Academy Saturday (Corringham)

Britsh Royal Legion Club Sunday (South Ockendon) *OPENING DAY 17TH JAN*

Preferred Trial Date (subject to availability)(Required)

No preferred date

Other

Preferred Trial Date (other)(Required)

Email(Required)

Phone(Required)

Child's Full Name(Required)

Child's date of birth(Required)

Billing Address(Required)

Street Address Address Line 2 City County / State / Region Postcode Country

How did you hear about us?(Required)