Walkshop Registration online contact form

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Freeplay Walkshop and 1-1 guided self-help registration form.

Please note that these Walkshops are currently on hold until further notice.

Please fill out this form in order to register your interest in my Walkshops or 1-1 Support and I will be in contact with you as soon as possible.

Please click here to read our Terms and Conditions.

Required fields are marked *

Regarding Walkshop/1-1 Support

1-1 Support

Walkshops

Title

Your name *

Your Address including postcode *

Your e-mail

Phone number *

Emergency contact number

Do you consider yourself to have a disability *

yes

no

Give details if 'yes' to having a disability

Will you be bringing a carer/support worker? *

yes

no

Do you have any health issues? *

yes

no

Give details if 'yes' to a health condition

How did you hear about Freeplay?

What do you hope to gain from the Walkshops /

Please tick to confirm you have read the terms and conditions. *

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