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Please use this easy form (FILL EVERY FIELD PLEASE!) to request a booking - it will tell me everything I need to know and will make booking much quicker! Without this information, I am unable to know how much time to allow for your appointment. Thanks!

Name (Yours, not your child's)*

Your email address*

Your phone number*

Preferred day(s) - SEE AVAILABILITY AT TOP OF PAGE. Select one or more*

Mondays - put exact dates in next field (Shop open 9-30 to 3-00)
Wednesdays - put exact dates in next field (Shop open 9-30 to 3-00)
Fridays - put exact dates in next field (Shop open 9-30 to 4-00)
Saturdays - put exact dates in next field (Shop open 9-30 to 4-00)

For the day(s) selected above, what time?

AM (up to 1pm)
PM (after 1pm)
Anytime

↓ ↓ Please don't leave this one blank! ↓ ↓ Preferred date(s) & time(s) for your appointment (please be as flexible as possible)* If nothing entered here, you MUST accept the dates I give you.

Does your child/children wear orthotics?

Yes
No

Number of children, their names & ages*

Expected total number of pairs*

Details of what you expect you will need (tick all relevant boxes or enter details in "Other" box):

School leather shoes
Black Trainers
White School Trainers
Casual Trainers

Other:

Any other relevant information

STOP!