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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) - select one or more AND CHECK OUR OPENING DAYS/ TIMES!

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)* ↓ 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.

Number of children, their names & ages*

Current shoe size/ sizes

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

Leather shoes or black trainers for school
White or Coloured Trainers

Other:

Expected total number of pairs*

Does your child/children wear orthotics?

Yes
No

Any other relevant information

STOP!

All done? Great!

You may now submit your request. If a confirmation message does NOT appear on the screen there is something wrong - please check & submit again!