This form will help us determine the suitability of the programme for your child and does not guarantee a place at the Breathe Magic Intensive Therapy Programme. We will aim to be back in touch with you within two weeks of receiving the form.
If you require any help completing this form or would like to receive it in a different format please contact us via email on email@example.com or telephone 020 3290 2013.
Please fill in our expression of interest form here. Fields marked with * are mandatory. If you do not fill them in you might receive an error message.