Children & Young People ’Natural Alternative’ Enquiry Form

Please complete the form below to express an interest in one of our on going courses to promote confidence and self esteem in children and young people (CYP), and one of our team will be in touch with the next steps.

Age of CYP (required)

Type of schooling CYP currently receives (required)

How many places are you enquiring about? (required)

How will the places be funded (required)

Referrer name & organisation (required)

Referrer email address (required)

Referrer phone number (required)

Preferred method of contact

Do one or more of your students have additional needs that require additional support (required)

Will one or more of your students be attending with 1:1 support (required)

Would you be interested in Green Light Trust providing 1:1 support (at additional cost and depending on availability)?

Which of our beautiful locations would your student/s prefer to attend (dependent on availability) (required)

Frithy Wood- Lawshall - IP29 4QUCastan Wood - Martlesham - IP5 3QNFoundry - Lawshall - IP29 4PJYour own site

Please provide a brief summary of reason for referral

Send