Request to book a session

Your name (required)

Child’s name (required)

Are you registered with Swings & Smiles? (required)

YesNo

If no, please give brief details of your child’s additional needs or disability

Date of session you would like to book (subject to availability) (required)

Time of session you would like to book (subject to availability) (required)

Your email address (we will email to confirm your booking, please note your booking is not confirmed until you’ve heard from us) (required)

Your privacy

The data you enter into this form will be collected and stored by our charity. Please tick below to confirm you understand

I understand

We will always store your personal details securely. We’ll use them to provide the service you have requested and communicate with you in the way(s) you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details please see our Privacy Policy.

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