PT Signup (Started 12th March 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
Have you applied for {StudentFirstName} to attend one of our classes before?* This field is required.
YESNO
4
To update the information we have on file for {StudentFirstName} or to ask a question, please use the space provided below.
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5
How old is {StudentFirstName}?
1 years old
2 years old
3 years old
6
What is {StudentFirstName}'s date of birth?
Date
Day
Month
Year
7
At which of our locations would you like {StudentFirstName} to take classes?
Tooting (Mitcham Lane Baptist Church)
Streatham (Dunraven Secondary School)
Streatham (The Parish Church of Immanuel and St Andrew)
8
Which Mitcham Lane Baptist Church class would you like to sign up {StudentFirstName} for?
Tuesday 10:45am - 11:30am (1 year olds)
Tuesday 11:30am - 12:15am (3 year olds)
Thursday 10.30am - 11.15am (1-2 year olds)
Thursday 11.15am - 12.30pm (2-3 year olds)
9
Which Immanuel and St Andrews church class would you like to sign up {StudentFirstName} for?
Mondays 9:45 am - 10:30 am (1-2 year olds)
Mondays 10:30 am - 11:15 am (2-3 year olds)
Mondays 11:15 am - 12:00 am (2-4 year olds)
Wednesday 9:45 am - 10:30 am (1-2 year olds)
Wednesday 10:30 am - 11:15 am (2-3 year olds)
Wednesday 11:15 am - 12:00 am (2-4 year olds)
10
Which Tooting Bec class would you like to sign up {StudentFirstName} for?
Tuesdays 9.15am - 10.00am (1-2 year olds)
Tuesdays 10.15am - 11.00am (2-3 year olds)
Thursdays 10.45am - 11.30am (2-3 year olds)
11
Which Dunraven School class would you like to sign up {StudentFirstName} for?
Saturdays 8.30 am - 9.15 am (1-2 year olds)
Saturdays 9.15 am - 10.00 am (2-3 year olds)
Saturdays 10.00 am - 10.45 am (3-4 year olds)
12
Would you like to attend a taster session?
Attend taster session
Enrol in the class without a taster
13
What is your first name?* This field is required.
14
What's your last name?* This field is required.
15
Thanks for that {PrimaryContactFirstName}. What's the best email address for you?* This field is required.
example@example.com
16
What is the best phone number to reach you on?* This field is required.
17
How did you hear about us?
18
If you would like to make any additional comments please use the space provided below.
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