Enrolment Form

Please fill in the following form, click on the print button, sign and send off with enrolment fee.

full name of child
date of birth
address
telephone number
start term

I would like him/her to attend the following sessions :-
	Mon	Tues	Wed	Thu	Fri
mornings
lunches
afternoons

It helps us to know how you came to hear of Rosebank and we would appreciate you providing the following information :-
How did you first hear of Rosebank

I enclose an enrolment fee of £25 and understand that this will only be refundable as a credit applied to the first terms fees. Cheques should be made out to "The Rosebank Centre"
signed
date
please send with enrolment fee to :-
The Rosebank Centre, Pepper Street, Lymm, Cheshire, WA13 0JG