Activity Group Contact Form

Before completing this form, please read our Ecas Eligibility Criteria. If you are eligible we’d love to hear from you.

Please call us on 07500 221618 or complete this initial contact form and we will be in touch soon to tell you more about our Ecas groups and how to apply. Many thanks.

Activity contact form

URL
This field is for validation purposes and should be left unchanged.

Your Name
First Last
Your postcode
Age*
- I confirm I am over 18
Eligibility*
- I have read the Ecas eligibility criteria and confirm I am eligible to apply
I am interested in these Ecas groups
- Art
- Craft
- Music
- Reading & Creative Writing
- Seated Tai Chi
- Chair Yoga
Please contact me by email
Please contact me by phone
We have all the information we need to contact you, but please feel free to add any further information or message here. Thank you
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Activity contact form

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