Learn to deal with stress at a local class

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Name *: *
Contact Number *: *
Contact Email *: *
How would you prefer to be contacted? *: Email Phone

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If you provide a mobile number is it OK for us to send you a text reminder prior to the group starting?: Yes No
Date of Birth *: *
Address *: *
GP Surgery *: *
Are you ok with stairs? (One venue doesn't have lift)
Where did you hear about Step on Stress?
Is there any information you think we might need?
Which group would you like to book (click here for next dates)? *: Option 1
Option 2
Option 3
Option 4
None of these dates work for me, please send me alternative dates

*
Would you like to bring someone with you? *: Yes
No
Not sure

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