Chi Zone for Youngsters ProgrammeApplication Form"*" indicates required fields Would you like to book a taster session for £5?*These sessions are in-person at The Chi Zone in Poundbury with a maximum of 4 students and may be mixed ages. 10.15am - 10.45am on Saturday 7th May 4pm - 4.30pm on Monday 9th May Not this timeWould you like to enrol in the Chi Zone Youngsters/Teens Programme?* Yes - starting in May Perhaps at a later date. Please keep me updated. Not at this time.The dates for the in-person sessions are: Saturday 19, 26 March plus 2, 9 and 16 April. The dates for the Zoom sessions are: Tuesdays 22, 29 March plus 5, 12 and 19 April.In-person Session Times at The Chi Zone* Starters Course: Saturdays 10.15am - 11am Starters Course: Mondays 4pm - 4.45pm Continuation Programme: Saturdays 9.15am - 10am I would prefer an alternative date/timeWhich alternative date/time would you prefer?Name of Responsible Adult* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Relationship to Student* Parent Guardian/Carer I am the student OtherEmail* Telephone*Please provide at least one mobile number Add RemoveStudent's DetailsName of Student* First Last Date of Birth* DD dash MM dash YYYY Gender*Name of SchoolSchool YearPlease detail any issues that may be relevant or affect the student's participation in this session e.g. limited mobility or injury.Reason(s) for joining this programmeAdditional CommentsPlease add any further information here.How did you hear about us?*Consent*Please go to www.thechizone.com/chi-zone-for-youngsters/#course-guidance-youngsters/ to read course specific guidance and terms. Our general terms and conditions can be found at www.thechizone.com/terms/ Our privacy policy can be found at www.thechizone.com/privacy-policy/ I agree to the terms and conditions and privacy policy.Would you like to receive the Chi Zone email newsletter including updates and offers?* Yes NoSignature
