Appointment Request Form

Appointment Request Form

Let us know how we can help you!
How can we help you today

General EnquiryBook an initial taster sessionBook a term of chess tuitionBook an academic year of chess tuition
Name of School*
School Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Name of Contact Teacher*

PrefixFirst NameLast Name
Which year groups are you considering for chess lessons?*

Year 2Year 3Year 4Year 5Not sure
How would you describe the abiity level of your students?

Complete BeginnerNoviceIntermediateAdvancedNot Sure
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
For an initial taster session, what date and time work best for you?*
Alternative 1: Any other specific date and time, if the above selection is not suitable.*

DayMonthYear
Date
Hour MinutesAM/PM Option
Alternative 2: Any other specific date and time, if the above selections are not suitable.

DayMonthYear
Date
Hour MinutesAM/PM Option
Is there anything else you'd like to let us know about your enquiry/booking?
Would you like to be notified about promotional services?

YesNo
Should be Empty: