Course Location
*
Charter
Corfe Mullen
Littledown
Mountbatten Centre
Pelhams
Stokewood
Gymnastics Centre
Tennis Centre
Course Type
*
Swimming Lessons
Tennis Lessons
Gymnastics Lessons (Portsmouth Gymnastics Centre)
Trampolining Lessons (Portsmouth Gymnastics Centre)
Littledown Juniors Football Season
Member/participants name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reason for leaving
*
Completed all stages
Financial situation
Relocation
Medical reasons
Progressed to a club
Day/Time not suitable
Transferred to other BH Live centre
Having a break
Dissatisfied with service/teaching
Other, please detail below
Any other reason
Will you be likely to rejoin in the future?
*
Yes
No
Submit
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