Activities Register Please complete the form separately if you have more than one person attending. Applicant's Full Name *Applican't Parent/Carer Name *Email Address *Phone *Gender *Please select an optionMaleFemaleDate of Birth *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year21252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Course *Archery BoysArchery GirlsBaking & CookeryPrepatory HifzIslamic StudiesFitnessSewingHave you done this course before?Yes/NoYesNoTotal£Payment *Submit Get News & Updates Success! First Name Last Name Email Subscribe FollowFollowFollow Get In TouchLocation: Mayfield Road, Leicester, LE2 1LR Telephone: 0116 2966 444 Email: [email protected] Contact Us
