Talking Tots Registration Form

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Unique Form ID
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Name
First Name
Last Name
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Email
example@example.com
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Image FieldTalking Tots West Suffolk and East Cambridgeshire
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Child's Name:* This field is required.
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Date of birth:* This field is required.
Day
Month
Year
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Parent/Guardian's name:* This field is required.
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Address:* This field is required.
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Postcode:* This field is required.
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Mobile Number:* This field is required.
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Home Phone:
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E-mail* This field is required.
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Method of payment:* This field is required.please use your child's initial and last name as a reference for bank transfers and cheques: eg B.Smith
Please Select
Please Select
Bank Transfer
Cash
Cheque
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Bank Details

Bank: Natwest

Payee: Talking Tots West Suffolk and East Cambridgeshire

Sort code: 53 61 24

Account Number: 71795022
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Cheques should be sent to:

4 Hillside, Brandon, Suffolk, IP27 0NL

PayeeTalking Tots West Suffolk and East Cambridgeshire
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Class location* This field is required.
Please Select
Please Select
Bury St Edmunds- Curve Motion
Ely - Chequers Studio
Newmarket- Tesco community room
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* Classes are £5 each, payable half termly in advance (half-terms are usually 6-8 weeks long)

* There is a one-off £10 membership fee which includes a Talking Tots bag, t-shirt, colouring book and sticker chart

* Once you have submitted the form, please pay the non-refundable deposit of £5 to secure your place. The £5 deposit will cover your first class
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Please tick this box if you do NOT wish your child to be involved in any publicity photos that may be taken whilst your child is attending Talking Tots classes
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* This field is required.
I accept that I will take full responsibility for my child for the duration of each Talking Tots class
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How did you hear about Talking Tots?
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