Sports Course Enquiry Form

Please complete the following form to book a FREE trial* or for further information about one of our sports courses.

* free trials not available on our swimming programme

First Name:*

Last Name:*

Name of Child/Adult:*

Date of Birth:*



Email Address:*

Confirm Email Address:*


Select type of course:*

Further details that may help us deal with your enquiry more effectively:*

Any medical conditions that we need to be aware of:*

Please give information on any previous experience in your chosen course to enable us to ensure that your child is placed on the
correct waiting list/course:*

I have read and accept Writhlington Leisure's website privacy policy.