PRINTABLE APPLICATION FORM

NAME: .....................................................................................

ADDRESS: ..........................................................................................................

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POSTCODE: ...........................................

TELEPHONE: ...........................................................

EMAIL: ..............................................................................................................

I have read the guidelines for vetting families on the previous page and agree to notes 1 - 4.

I should also be happy to accept the responsibilities outlined in note 5:
YES/NO delete as applicable

SIGNATURE: ..............................................................................

DATE: ....................................................

Please post this form to:

Carole Browne
Belaf
Banner Lodge
Cherhill
Calne
Wiltshire
SN11 8XR