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Alternative Milk Provision Scheme Registration Form
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1
Your child's name
*
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First Name
Last Name
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2
Your name
*
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Please Select
The inhaler provided by parents or carers
The school's emergency inhaler containing salbutamol
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Please Select
The inhaler provided by parents or carers
The school's emergency inhaler containing salbutamol
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3
Please indicate which alternative milk you would like your child to receive on a daily basis:
*
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Please Select
Arla Lacto Free Semi Skimmed Milk
Alpro Soya Orginal (Blue)
Please Select
Please Select
Arla Lacto Free Semi Skimmed Milk
Alpro Soya Orginal (Blue)
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4
I understand that a weekly charge of £2.03 will be applied to my Arbor account for this scheme
*
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YES
NO
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