GG Signup Form (Started 6th January 2021)

1

What is your child's first name?* This field is required.

2

What is {StudentFirstName}'s last name?* This field is required.

3

What is {StudentFirstName}'s date of birth? * This field is required.

Date

4

What is your first name?* This field is required.

5

What's your last name?* This field is required.

6

Thanks for that {PrimaryContactFirstName}. What's the best email address for you?* This field is required.

example@example.com

7

What is the best phone number to reach you on?* This field is required.

8

Have you applied for {StudentFirstName} to attend one of our classes before?* This field is required.

YESNO

9

To update the information we have on file for {StudentFirstName} or to ask a question, please use the space provided below.

10

At which of our locations are you interested in taking classes?* This field is required.

Shepherds Bush (Tue & Sun Classes)

Streatham (Mon, Tue, Wed, Thurs, Fri and Sat Classes)

11

On which day would you prefer {StudentFirstName} to take classes?* This field is required.

Mondays (Streatham)

Tuesdays (Shepherds Bush & Streatham)

Wednesdays (Streatham)

Thursdays (Streatham)

Fridays (Streatham)

Saturdays (Streatham)

Sundays (Shepherds Bush)

12

If you would like to make any additional comments please use the space provided below.For example, which day(s) would you like to take classes on?

13

Digital signature* This field is required.Please enter your initials here.