Booking

Booking Form - Please check available places & tick the date / time you require from the list of available dates & times on the left hand side.

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Dates *	Start Time	Spaces Available
		Adult	Child

Main Contact

First Name *

Surname *

Email *

Confirm Email *

Telephone Number *

Mobile Number

Age *

I am attending as a volunteer

Please select a date to show available spaces

Additional Adults and Children

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Why am I grateful? (Selected responses will be posted anonymously on our website and used in future projects)

* We need to share your information with the Charity running this activity please confirm your authorisation for us to share you contact information. You cannot book this activity without providing this authorisation. If you do not wish to give this authorisation please close this window and no information will be stored.

Here at Light Up a Life we take your privacy seriously and will only use your personal information to administer your account and provide the services you have requested from us. However from time to time, we would like to contact you with details of other products or services relating to . If you consent to us contact you for this purpose please tick to say how you would like us to contact you:

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Booking

Booking Form - Please check available places & tick the date / time you require from the list of available dates & times on the left hand side.

Dates *

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Booking

Booking Form - Please check available places & tick the date / time you require from the list of available dates & times on the left hand side.

Dates *

Main Contact

Please select a date to show available spaces

Additional Adults and Children

How did you hear about us?

Why am I grateful? (Selected responses will be posted anonymously on our website and used in future projects)

Contact Us