Pre-registration Form; Essex, London & Bray

Please note: you can complete one form per group of people attending. Please ensure all allergies, dietary requirements and disabilities are stated on the form below.

Click here to check the list of 14 allergens.

Name

Date of Birth

Address

Date of Class

Time of Class

Venue

Party Size

+ -

Contact Telephone

Alternative Contact (in case of emergency) i.e. next of kin

Do you have any food allergies, illnesses, diabilities or health issues we should be aware of? If so please state them

Do you take any blood-thinning medication?

Yes

Vegetarian?

Yes

Pescatarian?

Yes

How did you hear about the Smart School?

Would you like to join our mailing list?

Yes

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Note: Please fill out the fields marked with an asterisk.