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Parent Name
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Baby Name
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Baby Date of Birth
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Address
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Telephone Number
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Home
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Important : please provide a mobile number. This will only be used in case of an emergency on the day of a class.
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Mobile
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e-mail address
Important : this will be used to confirm your booking
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Class Start Date
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Venue
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How did you hear about the course?
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Please advise of any medical problems or other issues which may affect your or your baby’s attendance on this course. Please confirm GP permission if necessary.
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