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Nursery registration form Child s Details The Nursery requires and will rely on detailed information relating to your child as contained in the Nursery s registration and information form which shall form part of this contract. By signing the application form and applying for a place at Pennies Day Nursery for your child you agree to be bound by these terms which can only be varied if agreed in writing and signed by a Director of the Company. 1 Registration and Acceptance The Nursery will send a written acknowledgement of your application for a place at the nursery only upon receipt of the completed registration papers and deposit. Registration Form please tick for relevant nursery Day Nursery Newnham Court Hockers Lane Child s Full Name Date of Birth Age of Child Sex of Child Boy Girl Religion/Faith of Child Home Address Postcode Parent/Carer1/Mrs/Ms/Miss/Mr Relationship to Child Mobile No Email Address Parent/Carer2 Tel No Legal Guardian Mrs/Ms/Miss/Mr Home Tel No Alternative contacts who may collect your child or be called in an emergency Name Tel No Name and Address of Child s Doctor Pennies Day Nursery Limited Newnham Court Shopping Village Bearsted Road Maidstone Kent ME14 5LH Tel 01622 737733 Fax 01622 633003 Email newnhamcourt pennies. PLEASE NOTE Only one child s details to be entered on this application form* Please ask if you require additional forms. co. uk www. pennies. co. uk Preferred Start Date / Preferred Sessions Monday Tuesday Wednesday Thursday Friday Please tick Morning - 7. 30am to 1. 00pm Afternoon - 1. 00pm to 6. 30pm Important Deposit of 50 of one month s fees payable to be included with the registration documents. Only upon receipt of this will the place be confirmed subject to availability. The amount will be refunded by direct payment into your bank account the month after your child has left as long as all fees and any extra charges have been settled* New starters For new starters the deposit will only be refunded if a minimum of three months notice is given in writing that the place is no longer required* If starting within 3 months the place must be cancelled in writing within 14 days after the place has been confirmed for the deposit to be refunded* I wish to apply for Nursery care on the days and sessions indicated above. I have read and agree to abide of 50 of one month s fees cheques to be made payable to Pennies Day Nursery Ltd. Date THIS APPLICATION IS PROVISIONAL AND NOT GUARANTEED UNTIL CONFIRMED IN WRITING To help us please tell us how you heard about the Nursery Do you work within the Newnham Court Shopping Village Have you visited our web site For office use only Deposit Paid Reg Fee Paid Sibling Discount Applicable Agreed Start Date Method of Payment Cash Cheque Visa Mastercard Other Confirmation letter sent Yes No Accident Illness Calpol and Piriton Authority To allow our staff to manage any accidents or illnesses in accordance with the policies at Pennies Day Nursery please read the relevant policies and then sign the authorisations below Name of child I understand that in the event of sickness an accident or any form of emergency Pennies Nurseries will act on my behalf until such time as I can be present.

Information sheet for filipino... COMMISSION ON FILIPINOS OVERSEAS INFORMATION SHEET FOR FILIPINO EMIGRANTS PHOTO INSTRUCTIONS : Please PRINT letters in the spaces provided. Please CHECK ( ) appropriate box(es). (FOR CFO USE ONLY)

Registration form dominican un... REGISTRATION FORM ? FALL ? SPRING ? SUMMER Student Name Student ID Number Last First Middle Home Address City State Zip Is this a new address? Y / N Email Address Cell Phone ( ) Term Address City

Printable baseball registratio... New Bern Sunday School Baseball League Registration Form League Major 11-12 yr. old - Minor 9-10 yr.

Registration form for an indiv... SETTLEMENT AGENT OFFICIAL REGISTRATION FORM FOR AN INDIVIDUAL ATTORNEY VIRGINIA STATE BAR REGISTRATION FEE - $35.00 Please make check payable to the 'Treasurer of Virginia.' Virginia State

Student request for re registr... University Of Central Florida Student Account Services ? Clear Entries P.O. Box 160115, Orlando, FL 32816-0115 Tel. No: (407) 823-3433 Fax No: (407) 823-6476 stuaccts ucf.edu ? Student Request for

Wisconsin aircraft registratio... INSTRUCTIONS Tax questions call 608 261-7694 questions regarding registration call 608 266-9657 All aircraft based in Wisconsin must be registered with the Wisconsin Department of Transportation. See exemptions below. If amateur built from parts with tax paid so indicate. Tax due on kit price if not previously paid. ALL AIRCRAFT must be registered or exempted with the Wisconsin Department of Transportation Bureau of Aeronautics AIRCRAFT REGISTRATION or EXEMPTION DT1556 8/2013 s. Date The latest of the four dates determines when registration fee calculation starts. REGISTRATION -OR- EXEMPTION Initial Wisconsin A new or used aircraft not previously Unairworthy Aircraft severely damaged or in a state of major deterioration. registered in Wisconsin. Fee see Schedule below Complete the application in full including section H. Antique Fee 50 one time per owner Municipal Fee 5. 00 Museum Aircraft Aircraft held by a museum qualified as tax exempt under section 501 of the IRS code. Flown to and from displays only. SECTION E FEE COMPUTATION Registration Fee Registration is due on the date of purchase entry into Wisconsin construction completion or restoration. biennial renewal fees are due on November 1. Condition the new owner must apply for exemption. Exemption Fee 10. 00 Fee see Schedule below Incomplete Amateur Built If your home built is not complete and an FAA Transfer Aircraft registered in Wisconsin. Transfer Fee 5. 00 N has been issued complete sections A B C D F and G. Registration Amateur Built To be registered at time of completion or purchase Fee None until aircraft is airworthy. Flown to and from displays only. SECTION E FEE COMPUTATION Registration Fee Registration is due on the date of purchase entry into Wisconsin construction completion or restoration. biennial renewal fees are due on November 1. A renewal notice will be sent to the registered owner prior to that date. Penalty Fee Application for registration shall be filed within 30 days from the date of purchase restoration completed construction or entry of the aircraft into this state. Upon determination that the aircraft qualifies as unairworthy an unairworthy aircraft certificate will be issued Restored If previously held on unairworthy exemption fees expiring upon sale of aircraft or restoration. If the aircraft is sold in an unrestored prorated for remainder of registration period. condition the new owner must apply for exemption. Exemption Fee 10. 00 Fee see Schedule below Incomplete Amateur Built If your home built is not complete and an FAA Transfer Aircraft registered in Wisconsin. Transfer Fee 5. FAA N NUMBER Write in the FAA assigned N number in the box labeled FAA NUMBER. SECTION A Owner s List the complete legal name and address of the purchasing owner builder etc* List daytime telephone number where you can be reached between 7 00 a*m* 4 00 p*m* Aircraft Make Use designer or kit producer name for amateur builts. Gross Weight Show the gross weight of the aircraft. s. 114. 002 14 Wis. Stats. Gross weight means the gross or maximum takeoff weight for an aircraft make and model as designated by the manufacturer.

Printable 5k registration form 'McMinnville Fall Crawl' 5K to Benefit St. Jude 5K Run/Walk Hosted by Joshua and Ashly Crain & Main Street McMinnville Saturday, October 29, 2011 www.active.com www.mainstreetmcminnville.org

Standard uk dental registratio... ADULT GENERAL REFERRAL FORM Referring to (specialty): Hospital: Date of referral: NHS Number: PATIENT DETAILS Gender: Surname: Forename: Title: Previous surname: Date of birth: Age: Address: Home

Softball tryout liability form... Or, forms will be available for completion at the tryouts. Additionally, we ask thatyou register online for the tryouts; there is no fee. This registration/applicationdoes not commit you to play.

Football register sample form 2012 Football Camp Registration Form In order to register for Football Camp, please complete and submit the following information. Participant's Name: Parent / Guardian's Name: Address: Parent / Guardian's

Choir membership form pdf Vacation Bible School Registration Child's Name: Grade Completed: Parent's Name(s): Home Address: Home Phone: ( ) Alternate Phone: ( ) Birthday: / / (One form per child please) Age: Emergency Contact

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