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Bexley Nepalese Community

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Nepali Class

Please fill in this form to register your child for the Nepali class.

The classes run every Saturday during school term time from 10 am to 11 am.

Classes cost £10 per month, to be paid by standing order.

BNC hires the premises to run the classes. Any late pickup will incur an additional payment. So, please consider this & be on time to collect your children after the class.

For more information, please drop us an email.

Child Details

First name

Last name

Gender *

Male

Female

Birthday

Address

Primary Contact (must be the person filling this form & with parental responsibility)

First Name

Parental Responsibility

Last Name

Relationship With Child

Address

Phone

Emergency Contact (different from primary contact)

First name

Parental Responsibility * Required

Yes

Last Name

Relationship With Child

Address

Phone

Medical

GP/Surgery Name

GP/Surgery Address

Phone

Immunisations up to date? *

Yes

Currently On Medications? *

Yes

Allergies? *

Yes

Special Needs / Additional Info

Declaration

Information provided in this form is correct

I agree to pay £10 per month by standing order

I give permission for my child to be taken on group outings & photos/videos taken for (BNC) social media

I am the legal parent/guardian/carer of the child

Your Signature

Thanks for submitting the registration

Confirmation email will be sent shortly

Registered Office

Equitable House - 2nd Floor, C/O Mantax Lynton,

7 General Gordon Square, London, SE18 6FH

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Contacts

Email: info@bnc.org.uk

Registered with the Companies House(10070054) & Charity Commission (1187889)

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