KEEN London - Service Enquiry Form

Please complete the form below to enquire about KEEN Club. Fields marked with * are required to help us direct your enquiry to the right location and service. If you are having difficulty completing the form or would like any assistance please contact us on 0207 686 3172 and we will be happy to help you.

Please enter your name

Please enter your email address

Please indicate your preferred KEEN Club site?

Lambeth (South)Hackney (East)Wembley (North)

Please enter your child's age

Please enter the name of your Borough? (eg Brent, Barnet, Wandsworth etc)

Please use this text box to briefly let us know about your child's SEN needs

Data Protection: By ticking 'Yes', I consent to KEEN London securely storing my own and my child's personal data, including my name and contact details, in its CRM systems, for the purpose of assessing your enquiry/referral and determining how KEEN London may be able to support your child. Your privacy is very important to us, and you can withdraw your consent at any time by emailing info@keenlondon.org

YesNo

Contact Information