Application Form: The Wey Valley School
Please print this form out, fill it in and send it to:
Mr. D. J. Whistance
Kilderkin
The Old Malthouse
Nottington
Weymouth
Dorset DT3 4BH
Mr. Whistance,
Please enrol_________________________________
D.O.B.:___/___/___ Age:_____ Male/Female (Please delete)
Address:_________________________________
_________________________________________
_________________________________________
Post Code:____ ____ Tel.no:(_______) ____________
School:___________________________
Any relevant medical information (e.g. asthma):_______________________
Please delete one of the following:
- I enclose a cheque for �20 made payable to Mr. Whistance.
- I would like to pay weekly (�2 per session)
- I would like to pay weekly (�3 for both sessions)
Insurance is only �5 for the term. Please indicate if you have enclosed this fee:______
Signed:__________________________ (Parent/Guardian)
Signed:__________________________ (Young Person)
Please note
your child's daily time by ticking the appropriate box.
Please indicate preference:
- First hour (10.30am to 11.45am)
- Second hour (11.50am to 1.00pm)
- Both sessions (�3 per week)
Please note the meeting dates and times:
| SATURDAYS 10:30a.m.-1:00p.m. |
| 15th September |
22nd September |
| 29th September |
6th October |
| 13th October |
20th October |
| 27th October |
HALF TERM |
| 10th November |
17th November |
8th December |
15th December |
If you have any questions please contact Mr. Whistance on (01305) 813237
or e-mail [email protected]
Photos: Geoff Moore and Finnbarr Webster, Dorset Echo
Questions/Comments? E-mail the organiser by clicking this button.
This website designed by Graham Lee
