FEBRUARY HALF-TERM HOLIDAY COURSES APPLICATION FORM 2019

Size: px
Start display at page:

Download "FEBRUARY HALF-TERM HOLIDAY COURSES APPLICATION FORM 2019"

Transcription

1 FEBRUARY HALF-TERM HOLIDAY COURSES APPLICATION FORM 2019 Please tick your chosen date(s) and complete the application form. Full course fees are required at the time of booking. Please return fully completed forms by Wednesday 13 February 2019 via: Hand: School Reception or the Bursary Post: Loughborough Schools Foundation Holiday Courses 3 Burton Walks Loughborough LE11 2DU holiday.courses@lsf.org LSF FAIRFIELD PRE PREP COURSE 18 February 2019 KG Yr 2 32 Extended Day 8 19 February 2019 KG Yr 2 32 Extended Day 8 20 February 2019 KG Yr 2 32 Extended Day 8 21 February 2019 KG Yr 2 32 Extended Day 8 22 February 2019 KG Yr 2 32 Extended Day 8 Full Week (5 Days) KG Yr Extended Day 40 REF: HCPP1 LSF COMPUTING & STEM COURSE 18 February 2019 Yr 5 Yr 8 32 Extended Day 8 19 February 2019 Yr 5 Yr 8 32 Extended Day 8 20 February 2019 Yr 5 Yr 8 32 Extended Day 8 21 February 2019 Yr 5 Yr 8 32 Extended Day 8 22 February 2019 Yr 5 Yr 8 32 Extended Day 8 Full Week (5 Days) Yr 5 Yr Extended Day 40 REF: HCCS1 TEAM:FIT FUN Dates Age Booking Contact Details February sarah@teamfitfun.co.uk sa TEAM:FIT FUN - EXTENDED DAY BOOKING ONLY 18 February 2019 R Yr 6 Extended Day 8 19 February 2019 R Yr 6 Extended Day 8 20 February 2019 R Yr 6 Extended Day 8 21 February 2019 R Yr 6 Extended Day 8 22 February 2019 R Yr 6 Extended Day 8 Full Week (5 Days) R Yr 6 Extended Day 40 REF: HCED1 Page 1 of 5

2 TO BOOK LSF COURSES ABOUT YOUR CHILD Surname: First Date of Birth: DD/MM/YYYY Age at time of Course: School Year: Boy School Fairfield Prep School Girl Loughborough Grammar School Loughborough High School Loughborough Amherst School Please state any allergies, medical conditions or special dietary requirements (if none state n/a) Doctor s Surgery: Surgery Tel: ABOUT YOU Title (Mr, Mrs, Ms) Address: Page 2 of 5

3 Home Tel: Please provide two emergency contact telephone numbers: Relationship to attendee: Relationship to attendee: I understand and accept all Terms & Conditions. Please sign in order to process your application. Signed: Print Date: DD/MM/YYYY Photography: We may take still/video images during our courses for the purpose of evaluation, producing promotional material and for sharing on social media. We would be grateful for your consent to use such images. I have read the above and consent that Loughborough Schools Foundation may take, store and use images of my child/ren as described above. YES / NO (Please delete as appropriate). Signed: Date: DD/MM/YYYY Page 3 of 5

4 COURSE PAYMENT I wish to pay full course fees per child, per course. Course Reference: Amount Paying: Method of Payment I will be paying by (tick the appropriate method) Cheque payable to Loughborough Schools Foundation Credit/Debit Card (please fill in details below) Please debit my Mastercard Visa Solo Visa Debit Card Number Expiry Date Valid From Issue No CVV No / / / _ Card holder s name (Please print) Card holder s signature Date DD/MM/YYYY Debit/Credit card details will not be retained after payment in full has been completed. Childcare Vouchers Voucher Provider: Please use Fairfield Prep School as the carer. Reference used should be course reference followed by child s name. Once the payment request has been made to the Voucher Provider please holiday.courses@lsf.org to state that the payment request has been made. No booking is secure without an to inform us of the Childcare Voucher provider, the anticipated date for payment and the amount. Failure to add the appropriate reference and send an will cause delay in confirmation of the place. Page 4 of 5

5 LOUGHBOROUGH SCHOOLS FOUNDATION HOLIDAY COURSES TERMS AND CONDITIONS When making a booking, a completed application form and payment must be made in full for each child, in order to secure a place on a Loughborough Schools Foundation Course. Written confirmation of the receipt of the booking form and payment will be sent to all parents with any additional information about the course if necessary. Refunds will be given in the event of any Loughborough Schools Foundation course being cancelled by Loughborough Schools Foundation. All fees paid will be forfeited by anyone cancelling a course within 14 days of the course start date. Loughborough Schools Foundation Courses will run subject to minimum numbers being met. In the event that minimum numbers are not met, we will endeavour to provide a suitable alternative. If a course is full, names will be added to a waiting list on a first come first served basis. Please note that this does not guarantee a place on the course. You will be contacted prior to the course if a place becomes available. The deadline for receipt of application forms is 48 hours before the applicant s first proposed day of participation. There is no guarantee that a course can be offered after this time, therefore, please do not arrive on the first day of the course expecting a place as there may not be one available. Loughborough Schools Foundation reserves the right to withdraw any child from a course for behaviour that we deem to be detrimental to the smooth running of the course or which might interfere with the safety of any other participants on the course. Regulations made for the safety and comfort of course members must be observed. Loughborough Schools Foundation cannot accept responsibility for any personal loss or damage to property or any injury sustained by participants. Qualified medical staff will be onsite at all times in case of any incidents requiring medical attention. Please refer to terms and conditions for holiday courses supplied by third parties. Loughborough Schools Foundation cannot accept responsibility for the running of their courses. January 2019 Page 5 of 5

2016 Spring Meeting. Exhibitor Prospectus. March 11-13, 2016 DoubleTree by Hilton Hotel 1521 W. Pinhook Road Lafayette, LA

2016 Spring Meeting. Exhibitor Prospectus. March 11-13, 2016 DoubleTree by Hilton Hotel 1521 W. Pinhook Road Lafayette, LA 2016 Spring Meeting Photo by Raj Sohi March 11-13, 2016 DoubleTree by Hilton Hotel 1521 W. Pinhook Road Lafayette, LA 70503 Exhibitor Prospectus Louisiana Physical Therapy Association 2016 Spring Meeting

More information

Remember your loved one on our memory tree

Remember your loved one on our memory tree Remember your loved one on our memory tree loros.co.uk Remember your loved one on our memory tree In our Hospice garden we have a special individually crafted metal tree where families and friends can

More information

Joining BILD offers you real benefits and supports us in our work

Joining BILD offers you real benefits and supports us in our work BILD Membership Joining BILD offers you real benefits and supports us in our work Find out more at www.bild.org.uk/membership BILD is one of the leading learning disabilities organisations in the UK. Founded

More information

Regulated and Non-Regulated Water Facilities Information Session

Regulated and Non-Regulated Water Facilities Information Session Information Session Spring 2015 - Presented by the Halton Region Health Department Who should attend this training session? Public swimming pool, public spa, public wading pools and splash/spray pad owners

More information

CP17 ISSUE 12 DATED 1 st APRIL IMPLEMENTATION DATE: 1 st MAY 2018

CP17 ISSUE 12 DATED 1 st APRIL IMPLEMENTATION DATE: 1 st MAY 2018 Certification Services Division Midsummer House Riverside Way, Bedford Road Northampton, NN1 5NX United Kingdom Tel: +44(0)1604-438-300. Fax: +44(0)1604-438-301. E-mail: pcn@bindt.org CP17 ISSUE 12 DATED

More information

Application for Advocacy Group (Individual) Membership of the International Society for Affective Disorders

Application for Advocacy Group (Individual) Membership of the International Society for Affective Disorders Application for Advocacy Group (Individual) Membership of the International Society for Affective Disorders Please complete all boxes marked with an * on the application form below. In particular please

More information

International Bridge, Tunnel and Turnpike Association International Summit of Rome October 15-17, 2017 Parco dei Principi Grand Hotel Rome, Italy

International Bridge, Tunnel and Turnpike Association International Summit of Rome October 15-17, 2017 Parco dei Principi Grand Hotel Rome, Italy International Bridge, Tunnel and Turnpike Association International Summit of Rome October 15-17, 2017 Parco dei Principi Grand Hotel Rome, Italy What information do I need to provide to IBTTA? EXHIBITORS

More information

LE MUP. Regulation. Festival.

LE MUP. Regulation. Festival. LE MUP Festival 2019 Regulation www.le-mup.com GENERAL CONDITIONS Le MUP Festival is a non-profit organization aiming to promote movies with human values and help the meeting between emerging and established

More information

Information on Upcoming Polestar Pilates Pantai Integrated Rehab Malaysia 2011

Information on Upcoming Polestar Pilates Pantai Integrated Rehab Malaysia 2011 Information on Upcoming Polestar Pilates Malaysia 2011 Principle and Foundation (Polestar Approach to Pilates Fitness Principles) This is a pre-requisite unit for any Polestar series This non-apparatus

More information

Make Your Will Month. Information Pack

Make Your Will Month. Information Pack Make Your Will Month Information Pack Recently experienced a significant life change such as moving house, getting married or welcoming a new addition to the family? Chances are you haven t yet got round

More information

To register online or for more information, visit the Al Anon International Convention website, al anon.org/international

To register online or for more information, visit the Al Anon International Convention website, al anon.org/international AL ANON S 2018 INTERNATIONAL CONVENTION July 6 8, 2018 Baltimore, Maryland PICTURE YOURSELF IN BALTIMORE There s a buzz about Baltimore... that makes people who visit fall in love with its vibe. With its

More information

Support RP Fighting Blindness by taking part in our 2016 Superhero Run!

Support RP Fighting Blindness by taking part in our 2016 Superhero Run! Support RP Fighting Blindness by taking part in our 2016 Superhero Run! Thank you for requesting a Do it for Charity Superhero Run information pack. We can t wait for you to join us in becoming a real-life

More information

All Party Parliamentary Group on Cancer

All Party Parliamentary Group on Cancer September 2010 Dear Colleague BRITAIN AGAINST CANCER 2010 A new cancer strategy, a new NHS making it work I am writing to invite you to participate in the Britain Against Cancer Conference 2010, hosted

More information

Be part of our friendlier society. Member application.

Be part of our friendlier society. Member application. Be part of our friendlier society Member application www.oddfellows.co.uk Hello from the Oddfellows Maybe you ve heard of us we re one of the oldest and biggest friendly societies in the UK. And if you

More information

LIFE TO BE LIVED: AN UPDATE ON PHYSIOTHERAPY WITH THE AGEING PERSON

LIFE TO BE LIVED: AN UPDATE ON PHYSIOTHERAPY WITH THE AGEING PERSON A LIFE TO BE LIVED: AN UPDATE ON PHYSIOTHERAPY A one-day interactive workshop of lectures and practical sessions reviewing physiotherapy interventions with older people. Bhanu Ramaswamy is an Independent

More information

BIRMINGHAM LONDON CPD

BIRMINGHAM LONDON CPD B D A s e m i n a r s e r i e s Modern oral surgery Updates and controversies in current practise BIRMINGHAM Friday 11 May 2012 LONDON Friday 21 September 2012 6 hrs CPD Verifiable Speakers Tara Renton

More information

Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application

Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application 1 Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application Applications will be accepted on a rolling basis. Send completed applications to: Erin Flaherty Barfield

More information

SPONSORSHIP AND EXHIBITOR PACKAGE

SPONSORSHIP AND EXHIBITOR PACKAGE SPONSORSHIP AND EXHIBITOR PACKAGE J U L Y 1 9-2 1, 2 0 1 8 Who is PRISMS? PRISMS, an acronym for Parents and Researchers Interested in Smith-Magenis Syndrome, is dedicated to providing information and

More information

ROA. Designing a valid questionnaire. One-Day Workshop. Wednesday 27 February 2008 (9.00am 4.30pm)

ROA. Designing a valid questionnaire. One-Day Workshop. Wednesday 27 February 2008 (9.00am 4.30pm) ROA Designing a valid questionnaire One-Day Workshop Wednesday 27 February 2008 (9.00am 4.30pm) Seminar Room (3 & 4) Clifton Street Building, University of Western Australia, Nedlands campus The aim of

More information

UK Stroke Assembly (South)

UK Stroke Assembly (South) UK Stroke Assembly (South) Tuesday 15 March 2016, 9am 4pm Monday 3 July Tuesday 4 July 2017 Stirling Radisson Court Blu Stansted, Hotel, Stirling, Stansted Scotland, Airport, Essex, FK9 4LA CM24 1PP Take

More information

Improving safety, health and wellbeing at work

Improving safety, health and wellbeing at work Improving safety, health and wellbeing at work The South Wales Safety Groups Alliance Annual Health and Safety Conference and Exhibition 08.30 16.30 In partnership with www.iosh.co.uksouthwalesbranch In

More information

Eau Claire Tower Fitness Centre MEMBERSHIP APPLICATION

Eau Claire Tower Fitness Centre MEMBERSHIP APPLICATION Eau Claire Tower Fitness Centre MEMBERSHIP APPLICATION SHADED AREAS FOR OFFICE USE ONLY MEMBERSHIP # SECURITY CARD # START DATE DD MM YY NAME: FIRST LAST DATE DD MM YY OF BIRTH HOME ADDRESS HOME/CELL PHONE

More information

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny ALL ABOUT NANNIES BUSINESS PHONE: 602-266-9116 BUSINESS FACSIMILE: 602-266-9787 BUSINESS EMAIL: ADMIN@ALLABOUTNANNIESINC.COM TEMPORARY, BABY-SITTING, HOTEL & ON-CALL AS NEEDED Mother s Full Name: Place

More information

Application form for an Annual Practising Certificate 2018/2019 Application form for updating Practising Status 2018/2019 (Annual Renewal)

Application form for an Annual Practising Certificate 2018/2019 Application form for updating Practising Status 2018/2019 (Annual Renewal) Application form for an Annual Practising Certificate 2018/2019 Application form for updating Practising Status 2018/2019 (Annual Renewal) Important Notification under sections 26 & 144 of the Health Practitioners

More information

Be part of our friendlier society. Member application.

Be part of our friendlier society. Member application. Be part of our friendlier society Member application www.oddfellows.co.uk Hello from the Oddfellows Maybe you ve heard of us we re one of the oldest and biggest friendly societies in the UK. And if you

More information

THE NEWCASTLE ECHO COURSE The essential guide to adult transthoracic echocardiography

THE NEWCASTLE ECHO COURSE The essential guide to adult transthoracic echocardiography THE NEWCASTLE ECHO COURSE The essential guide to adult transthoracic echocardiography Tuesday 14th - Thursday 16th October 2014 Millennium Copthorne Hotel, Newcastle upon Tyne Clinical Organisers: Dr Tim

More information

Christmas. cards 2013

Christmas. cards 2013 Christmas cards 2013 Welcome to our Christmas card catalogue 2013 ORDER AT: www.autism.org.uk/christmascards Welcome to our 2013 Christmas card catalogue. Whether you re looking for a traditional card

More information

Sponsorship & Exhibiting Opportunities

Sponsorship & Exhibiting Opportunities Sponsorship & Exhibiting Opportunities Photo Tourism Vancouver/ Frannz Morzo Photography Making it Matter: Mobilizing Aging Research, Practice & Policy CAG2018 VANCOUVER 47th Annual Scientific & Educational

More information

Making the most of an appointment

Making the most of an appointment Making the most of an appointment fighting childhood liver disease Support Series JOB 11565 PROOF 04 14/03/2006 Welcome This leaflet has been written for: Parents/carers of a child/young person diagnosed

More information

2016 NATIONAL SPONSORSHIP PROGRAM

2016 NATIONAL SPONSORSHIP PROGRAM 2016 NATIONAL SPONSORSHIP PROGRAM 2016 NATIONAL CONFERENCE September 12 14, 2016 Phoenix, AZ ARIZONA BILTMORE We are the only association dedicated to corporate foodservice and workplace hospitality, the

More information

A guide to giving in memory. Remembering a loved one

A guide to giving in memory. Remembering a loved one A guide to giving in memory Remembering a loved one Help someone with a terminal illness live life to the full, to the very end. At St Joseph s Hospice we truly understand how it can feel to lose a loved

More information

Autism. Thursday 27 th November 2014, Glasgow. Good practice and practical strategies for those working with children & young people

Autism. Thursday 27 th November 2014, Glasgow. Good practice and practical strategies for those working with children & young people Autism 2014 Good practice and practical strategies for those working with children & young people Thursday 27 th November 2014, Glasgow Sensory Processing & Autism A Half Day Training Course With Dr Luke

More information

Bristol, February 2015

Bristol, February 2015 GENERAL INFORMATION This course has been developed to improve practice within childhood epilepsies and is delivered by means of didactic teaching sessions and small workshops. PET2 concentrates on general

More information

Childminding Contract

Childminding Contract Introduction Childminding Contract Please read the following carefully then sign and return it together with your registration, policy acceptance and consent forms. We are unable to care for your child

More information

Natural Health Center

Natural Health Center Natural Health Center 420 Yucca Lane - Turpin, OK 73950 Tel. No. (580) 778-3310 / Cell No. (620) 391-5520 / Fax No. (580) 778-3340 Today s Date / / Application for Treatment Name: Birthdate: SS# Address:

More information

Strengthening Our Rights

Strengthening Our Rights Launching a report on Legal Status for BSL: Strengthening Our Rights organised by the British Deaf Association Tuesday 18th March 2014 Holiday Inn Bloomsbury Hotel Coram Street London WC1N 1HT Register

More information

There are a number of subscription types available to suit you and your family with annual fee or direct debit payment options available.

There are a number of subscription types available to suit you and your family with annual fee or direct debit payment options available. Dear Prospective Member, Thank you for your enquiry regarding the facilities at Monkton Sports Club. We are delighted to offer members use of the School's outstanding sporting facilities alongside a comprehensive

More information

Self Harm & Eating Disorders

Self Harm & Eating Disorders Self Harm & Eating Disorders A One Day Conference Wednesday 5 th November 2014, Glasgow RESOURCES CPD CERTIFICATES PRACTICAL STRATEGIES UNDERSTANDING KNOWLEDGE UPDATES NETWORKING INSPIRATIONAL SPEAKERS

More information

New Client Reformer Session Packet

New Client Reformer Session Packet New Client Reformer Session Packet Welcome and thank you for your interest in the Pilates Reformer program with University Recreation. You are taking the first steps towards improved health and wellness.

More information

EXHIBITOR AND SPONSOR REGISTRATION

EXHIBITOR AND SPONSOR REGISTRATION EXHIBITOR AND SPONSOR REGISTRATION #WeAreSacHR PRE-CONFERENCE TUESDAY, SEPTEMBER 20, 2016 CONFERENCE WEDNESDAY, SEPTEMBER 21, 2016 Registration Exhibitor Registration Deadline for Printed Materials and

More information

Naturopathic Intake Form

Naturopathic Intake Form Naturopathic Intake Form Date: Name: Date of Birth: _ Are you related to any other patients? Sex:! M! F Marital Status:! Single! Married! Divorced! Widowed Profession: Cultural Heritage: Place of Birth:

More information

Internet Banking - FAQ -

Internet Banking - FAQ - Internet Banking - FAQ - About Hong Leong Connect services Q1. What is Hong Leong Connect? A1. Hong Leong Connect brings you a host of digital banking services offered by Hong Leong Bank (Cambodia) Plc.

More information

2017 Joint Annual Conference Exhibit and Sponsorship Program

2017 Joint Annual Conference Exhibit and Sponsorship Program 2017 Joint Annual Conference Exhibit and Sponsorship Program April 27-28, 2017 Double Tree Chicago Oak Brook, Illinois Don t miss this opportunity to reach your target market. Take advantage of these convenient,

More information

Carrie Havens. Dear Candidate,

Carrie Havens. Dear Candidate, Public Safety Training Center Police Agility Program WESTERN CAMPUS 11000 W. PLEASANT VALLEY ROAD PSTC BLDG., STE. 221 PARMA, OH 44130 PHONE: 2169873033 Dear Candidate, Congratulations on your choice of

More information

PENNSYLVANIA CERTIFICATION BOARD

PENNSYLVANIA CERTIFICATION BOARD PENNSYLVANIA CERTIFICATION BOARD ANNUAL CONFERENCE EXHIBITOR & SPONSORSHIP PROSPECTUS Annual Conference April 18-19, 2016 Harrisburg, PA ABOUT THE PCB ANNUAL CONFERENCE Don t miss your opportunity to participate

More information

Member Value Understanding Support Community

Member Value Understanding Support Community Member Value Understanding Support Community Be Heard Be Informed Be Supported Be Rewarded Understanding Support Community About us Who we are Arthritis & Osteoporosis NSW (AONSW) is a memberbased health

More information

center 300 N. Fifth Ave., Suite 21 Ann Arbor, MI

center 300 N. Fifth Ave., Suite 21 Ann Arbor, MI AUTISM DIAGNOSTIC INTERVIEW REVISED (ADI-R) Introductory Clinical Workshop Application Dates Monday, November 14 and Tuesday, November 15, 2016 (Monday 8:00AM-4:30PM & Tuesday 8:00AM 4:30PM) Thank you

More information

Application form for an Annual Practising Certificate 2017/2018 Application form for updating Practising Status 2017/2018 (Annual Renewal)

Application form for an Annual Practising Certificate 2017/2018 Application form for updating Practising Status 2017/2018 (Annual Renewal) Application form for an Annual Practising Certificate 2017/2018 Application form for updating Practising Status 2017/2018 (Annual Renewal) Important Notification under sections 26 & 144 of the Health Practitioners

More information

Society of Plastic Surgical Skin Care Specialists 24 th Annual Meeting - Exhibitor Prospectus Exhibit Dates: April 26-27, 2018

Society of Plastic Surgical Skin Care Specialists 24 th Annual Meeting - Exhibitor Prospectus Exhibit Dates: April 26-27, 2018 Society of Plastic Surgical Skin Care Specialists 24 th Annual Meeting - Exhibitor Prospectus Exhibit Dates: April 26-27, 2018 Skin Care 2018 The 24 th Annual Meeting of the Society of Plastic Surgical

More information

123rd Boston Marathon 2019 Charity Program Application

123rd Boston Marathon 2019 Charity Program Application 123rd Boston Marathon 2019 Charity Program Application RUN FOR PEACE OF MIND TEAM QUELL OUR MISSION The Quell Foundation strives to reduce the number of suicides, overdoses, and incarcerations of people

More information

Level 1 Course Khartoum, Sudan, Tuesday 27 January 2015

Level 1 Course Khartoum, Sudan, Tuesday 27 January 2015 GENERAL INFORMATION Paediatric Epilepsy Training (PET) courses were developed by the British Paediatric Neurology Association to improve the diagnosis and management of children with epilepsies for general

More information

34th SQA Annual Meeting

34th SQA Annual Meeting 34th SQA Annual Meeting Registration Brochure www.sqa.org/sqa2018-1 - The Wonderful World of Quality The Society of Quality Assurance invites you to Anaheim, California for the 34th SQA Annual Meeting

More information

Am I eligible to enroll in the Delta Dental of New Jersey Yale Graduate & Professional Student dental plan?

Am I eligible to enroll in the Delta Dental of New Jersey Yale Graduate & Professional Student dental plan? FAQs Dental Plan Am I eligible to enroll in the Delta Dental of New Jersey Yale Graduate & Professional Student dental plan? A: You must be a Yale University Graduate or Professional student enrolled at

More information

Anchor p! All Healthcare Professionals on Deck. April 11-13, Tennessee MGMA 2018 Spring Conference. Park Vista Hotel, Gatlinburg TENNESSEE

Anchor p! All Healthcare Professionals on Deck. April 11-13, Tennessee MGMA 2018 Spring Conference. Park Vista Hotel, Gatlinburg TENNESSEE Anchor p! All Healthcare Professionals on Deck Tennessee MGMA 2018 Spring Conference April 11-13, 2018 Park Vista Hotel, Gatlinburg TENNESSEE TENNESSEE MGMA 2018 SPRING CONFERENCE VENDOR OPPORTUNITIES

More information

Information Pack. How to Join Team Sally Army for the April 2017 Virgin Money London Marathon

Information Pack. How to Join Team Sally Army for the April 2017 Virgin Money London Marathon Information Pack How to Join Team Sally Army for the April 2017 Virgin Money London Marathon Thank you for requesting this pack. We would love to have you on our 2017 VMLM team. You do not need to be a

More information

Advanced Perio Course

Advanced Perio Course 2019 Advanced Laser Education Series Advanced Perio Course Chicago, IL / April 11-13, 2019 Copyright 2015, Fotona, LLC. all rights reserved Fotona LLC is the exclusive owner of all right, title and interest

More information

Gym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band.

Gym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band. Gym Memberships Membership Form Name: Address: Membership Start Date: Payment Details The cost of the membership is 18.50 per month, plus a one off cost of 5 for the band. This Payment should be made either

More information

SDSS DRY GRAD COMMITTEE Delta, BC. Class of 2015

SDSS DRY GRAD COMMITTEE Delta, BC. Class of 2015 Class of 2015 January 28, 2015 To all Parents/Guardians of Grade 12 Students: Dry Grad is a drug and alcohol free supervised party which takes place immediately following the Grad Banquet and Dance on

More information

These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017.

These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017. Rules of Membership 1. Introduction These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017. The previously published

More information

LABORATORY ANIMAL SCIENCE ASSOCIATION. Information Booklet

LABORATORY ANIMAL SCIENCE ASSOCIATION. Information Booklet LABORATORY ANIMAL SCIENCE ASSOCIATION Information Booklet Platinum Sponsor: Gold Sponsors: Silver Sponsors: Bronze Sponsors: Welcome! We are pleased to invite you to Birmingham for the 2017 LASA Annual

More information

AHRA 2019 Spring Conference Marriott Plaza San Antonio San Antonio, TX March 7 9, 2019 Exhibitor Information

AHRA 2019 Spring Conference Marriott Plaza San Antonio San Antonio, TX March 7 9, 2019 Exhibitor Information Exhibitor Information Who is the audience? Hospital Medical Imaging Directors and Imaging Center Administrators, Radiologists, Business Managers, PACS Administrators, Radiologic Technologists, Coders/Billers,

More information

2018 Laser Education Series. Advanced Perio. October 4-6, 2018 Baltimore, MD Copyright 2015, Fotona, LLC. all rights reserved

2018 Laser Education Series. Advanced Perio. October 4-6, 2018 Baltimore, MD Copyright 2015, Fotona, LLC. all rights reserved 2018 Laser Education Series Advanced Perio October 4-6, 2018 Baltimore, MD Copyright 2015, Fotona, LLC. all rights reserved Fotona LLC is the exclusive owner of all right, title and interest in this syllabus,

More information

Make checks payable to AGS and mail to: Alabama Gastroenterological Society Attn. Jennifer Hayes 19 South Jackson Street Montgomery, AL 36104

Make checks payable to AGS and mail to: Alabama Gastroenterological Society Attn. Jennifer Hayes 19 South Jackson Street Montgomery, AL 36104 OFFICERS Executive Director Jennifer W. Hayes, Montgomery President J. DeWayne Tooson, MD, Tuscaloosa Vice President Bradley Rice, MD, Huntsville Secretary / Treasurer Kenneth Sigman, MD, Birmingham Treasurer

More information

AGS, SNAGS and MWM S (Mulligan Concept) Two-day workshop

AGS, SNAGS and MWM S (Mulligan Concept) Two-day workshop N AGS, SNAGS and MWM S (Mulligan Concept) Two-day workshop Mr Robin Blake MCSP DipTP International Maitland Teacher; Accredited Mulligan Teacher; Member of NOI Teaching Faculty Robin Blake qualified as

More information

Expert and patient meeting on Maroteaux Lamy disease (MPS VI)

Expert and patient meeting on Maroteaux Lamy disease (MPS VI) Expert and patient meeting on Maroteaux Lamy disease (MPS VI) 15 16 October 2016 Hilton, Northampton Programme and booking form About the conference This event has been kindly supported by Biomarin The

More information

OPPORTUNITIES TO COLLABORATE

OPPORTUNITIES TO COLLABORATE OPPORTUNITIES TO COLLABORATE Association of Medicine & Psychiatry (AMP) 2017 Annual Meeting The Association of Medicine and Psychiatry is planning its Annual Meeting at the beautiful Hotel Allegro in Chicago,

More information

FREQUENTLY ASKED QUESTIONS. London Youth Membership. Links:

FREQUENTLY ASKED QUESTIONS. London Youth Membership. Links: FREQUENTLY ASKED QUESTIONS London Youth Membership Here you will find the frequently asked questions we receive about the London Youth Membership. To go directly to the question you are interested in,

More information

NEW PRICING OPTIONS. At The Pilates Pod, we believe that one size doesn t fit all!

NEW PRICING OPTIONS. At The Pilates Pod, we believe that one size doesn t fit all! NEW PRICING OPTIONS Getting started At The Pilates Pod, we believe that one size doesn t fit all! We re passionate in giving you a truly authentic approach to Pilates and to get the most of your training

More information

April 4-6, 2014 Hyatt Regency, Long Beach, CA

April 4-6, 2014 Hyatt Regency, Long Beach, CA 9th Annual Joint American Homeopathic Conference 2014 Presented by the National Center for Homeopathy April 4-6, 2014 Hyatt Regency, Long Beach, CA About the Joint American Homeopathic Conference: Since

More information

Charity Skydive in aid of Target Ovarian Cancer

Charity Skydive in aid of Target Ovarian Cancer UK Skydiving Adventures Ltd PO Box 372, Bicester, Oxon, OX26 9FN Tel: 01869 278706 / Fax: 0845 862 0859 Email: info@ukskydivingadventures.com Web: www.ukskydivingadventures.com Hello there Thanks very

More information

You may pay by Cash or Cheque payable to Bramcote Crematorium, alternatively you may pay by Credit or Debit card by telephoning the crematorium

You may pay by Cash or Cheque payable to Bramcote Crematorium, alternatively you may pay by Credit or Debit card by telephoning the crematorium Coventry Lane, Bramcote, Nottingham NG9 3GJ Telephone: 0115 917 3849 Fax: 0115 943 0067 Email: bramcotecrem@broxtowe.gov.uk www.bramcotebereavement.org Rose Tree Plaques We have some roses in the Crematorium

More information

Prevent. Educate. Empower.

Prevent. Educate. Empower. The National Kidney Foundation of Illinois improves the health and well-being of people at risk for or affected by kidney disease through prevention, education and empowerment. Prevent. Educate. Empower.

More information

North Carolina Board of Physical Therapy Examiners Application for Physical Therapist Licensure

North Carolina Board of Physical Therapy Examiners Application for Physical Therapist Licensure FOR OFFICIAL USE ONLY Name: End: Ex: Rev by End: Exost: Board Approved by: PT Endorsement Application Examination Date: / / ID Number: / / Exam Form Number: / / SCORES: Scaled: / / Raw: / / NC Passing:

More information

6th Annual ANISHINABEK G7 FASD Conference

6th Annual ANISHINABEK G7 FASD Conference 6th Annual ANISHINABEK G7 FASD Conference Heart Work Long Ours October 27, 28, 29, 2015 Quattro Hotel (Formerly Comfort Suites) 229 Great Northern Road, Sault Ste. Marie ON Keynote Speakers Include: Dr.

More information

Business Partner Program WELCOME Thank you for your interest and support of the Denver legal community!

Business Partner Program WELCOME Thank you for your interest and support of the Denver legal community! 2018-2019 Business Partner Program WELCOME Thank you for your interest and support of the Denver legal community! OVERVIEW OF Mile High Chapter Business Partners receive benefits based on their level of

More information

Charity Skydive in aid of CLAPA Cleft Lip and Palate Association

Charity Skydive in aid of CLAPA Cleft Lip and Palate Association UK Skydiving Adventures Ltd PO Box 372, Bicester, Oxon, OX26 9FN Tel: 01869 278706 / Fax: 0845 862 0859 Email: info@ukskydivingadventures.com Web: www.ukskydivingadventures.com Hello there Thanks very

More information

Business Partner Program WELCOME. Thank you for your interest and support of the Denver legal community!

Business Partner Program WELCOME. Thank you for your interest and support of the Denver legal community! 2017-2018 Business Partner Program WELCOME Thank you for your interest and support of the Denver legal community! Mile High Chapter Business Partners receive benefits based on their level of sponsorship

More information

22ND APRIL Contact or visit cancerresearchwales.co.uk/abseil to download your information pack

22ND APRIL Contact or visit cancerresearchwales.co.uk/abseil to download your information pack l i e s b A CARDIFF CITY STADIUM 22ND APRIL 2017 Contact 02920 316976 or visit cancerresearchwales.co.uk/abseil to download your information pack Cancer Research Wales, Velindre Cancer Centre, Whitchurch,

More information

The 2007 Affiliates Fair and

The 2007 Affiliates Fair and Affiliates Fair & Winter Meeting January 12-13, 2007 217 N. St. Mary s Street San Antonio, TX 78205 210-224-2500 The 2007 Affiliates Fair and Winter Meeting will feature presentations from a variety of

More information

PROGRESS IN MOTOR CONTROL XI MIAMI MARRIOTT BISCAYNE BAY JULY 19 22, 2017 EXHIBITOR PROSPECTUS

PROGRESS IN MOTOR CONTROL XI MIAMI MARRIOTT BISCAYNE BAY JULY 19 22, 2017 EXHIBITOR PROSPECTUS PROGRESS IN MOTOR CONTROL XI MIAMI MARRIOTT BISCAYNE BAY JULY 19 22, 2017 EXHIBITOR PROSPECTUS EXHIBITOR LEVELS Thank you for your interest in participating as an exhibitor. Space will be sold on a first

More information

Conference on Hidden Disabilities

Conference on Hidden Disabilities Conference on Hidden Disabilities CPD approved 5 points Tuesday 10 December 2013 Manchester Conference Centre, Weston Building, Sackville Street, Manchester, M1 3BB 08.45 Welcome and Registration 09.30

More information

MEMBERSHIP. Ireland s Philanthropic Society

MEMBERSHIP. Ireland s Philanthropic Society MEMBERSHIP Ireland s Philanthropic Society The RDS Ireland s Philanthropic Society A unique body A unique role By becoming a Member of the RDS you are joining a tradition that has supported Ireland for

More information

Can you help us dot the i s and cross the t s in time for completion May 2018? Read on to find out how you can help.

Can you help us dot the i s and cross the t s in time for completion May 2018? Read on to find out how you can help. We should all feel proud of what will be one of the best sporting facilities in Cumbria. The Hirst Centre, due to be completed at the end of May 2018, will provide 2 competition sized courts and a truly

More information

Kidney Week Participant FAQ

Kidney Week Participant FAQ Table of Contents I. Contact Information II. Registration a. When does registration open? b. How do I access the registration site? c. When are the registration deadlines? d. Where will registration be

More information

Presents the 2016 Early Childhood Conference

Presents the 2016 Early Childhood Conference Presents the 2016 Early Childhood Conference September 22-24, 2016 Abraham Lincoln Hotel & Convention Center Prairie Capital Convention Center Springfield, Illinois Sponsor, Exhibitor & Advertiser Prospectus

More information

marathon charity program Join Mass. Eye and Ear s marathon team and run the 2010 Boston Marathon.

marathon charity program Join Mass. Eye and Ear s marathon team and run the 2010 Boston Marathon. marathon charity program Information & 2010 Application for non-qualified runners Join Mass. Eye and Ear s marathon team and run the 2010 Boston Marathon. marathon charity program Mass. Eye and Ear is

More information

Innovative, Conservative, & Profitable Laser Surgery

Innovative, Conservative, & Profitable Laser Surgery 2017 Advanced Laser Education Series Innovative, Conservative, & Profitable Laser Surgery April 27-29, 2017 Dallas, TX Copyright 2015, Fotona, LLC. all rights reserved P a g e 2 Content Information Course

More information

P.O. Box Austin, Texas Phone: Fax: Texas Society of Infection Control & Prevention

P.O. Box Austin, Texas Phone: Fax: Texas Society of Infection Control & Prevention Texas Society of Infection Control & Prevention P.O. Box 341357 Austin, Texas 78734 Phone: 512-722-3717 Fax: 512-722-3608 The Texas Society of Infection Control & Prevention (TSICP) is looking forward

More information

New Patient Information

New Patient Information Patient's Street Address: Home Phone: Cell Phone: of Birth: / / New Patient Information State: Name of Person Responsible for This Account: E-Mail Address: Zip Code: Work Phone: SSN: Do You Have Dental

More information

David Palmieri, D.M.D., M.S., LTD., Frank R. Portell D.M.D.,M.S. & Nathan Schoenly, D.D.S. Please Check: Mr. Ms. Mrs. Dr. Fr. Sr. Hon.

David Palmieri, D.M.D., M.S., LTD., Frank R. Portell D.M.D.,M.S. & Nathan Schoenly, D.D.S. Please Check: Mr. Ms. Mrs. Dr. Fr. Sr. Hon. David Palmieri, D.M.D., M.S., LTD., Frank R. Portell D.M.D.,M.S. & Nathan Schoenly, D.D.S. PATIENT REGISTRATION Please Check: Mr. Ms. Mrs. Dr. Fr. Sr. Hon. OTHER: Your Name (first name) (middle int.) (last

More information

ENROLMENT FORM. Title: First Name: Surname: Postal Address: Postcode: Emergency Contact: Relationship: Phone: What is your main fitness goal?

ENROLMENT FORM. Title: First Name: Surname: Postal Address: Postcode:   Emergency Contact: Relationship: Phone: What is your main fitness goal? ENROLMENT FORM Personal Information Title: First Name: Surname: Date of Birth: Sex: Female Male Postal Address: Postcode: Phone: Home: Work: Mobile: Email: Preferred method of contact: Letter Phone Email

More information

Initial Clinical History and Physical Form

Initial Clinical History and Physical Form 601 E FM 544, Suite 400, Murphy, TX, 75094 TEL: 972-442-4700 Initial Clinical History and Physical Form Patient Information Name: Age: of Birth: / / Sex: Male / Female Marital Status: Single Married Divorced

More information

Key Advances in Stroke Rehabilitation

Key Advances in Stroke Rehabilitation Conference on Key Advances in Stroke Rehabilitation 12th June 2013 Organised by: Congress Centre, London United Kingdom Limited spaces available Key Advances in Stroke Rehabilitation About the conference

More information

imgma.19 mardi gras ANNUAL CONFERENCE July 18-19, 2019 French Lick Springs Hotel

imgma.19 mardi gras ANNUAL CONFERENCE July 18-19, 2019 French Lick Springs Hotel imgma.19 ANNUAL CONFERENCE mardi gras PRE-CONFERENCE RECEPTION, JULY 17 TH, 5-9 PM FRENCH LICK BOWLING ALLEY Who We Are... Indiana MGMA is the state affiliate chapter of the national MGMA. We are dedicated

More information

2015 Conference Information

2015 Conference Information 2015 Conference Information Photo courtesy of General Electric Company The Frame 6 Users Group 2015 Conference will be held at The DoubleTree by Hilton Paradise Valley Resort, 5401 North Scottsdale Road,

More information

CAMP SOCIAL 2018 ENROLLMENT APPLICATION FOR CAPE GIRARDEAU

CAMP SOCIAL 2018 ENROLLMENT APPLICATION FOR CAPE GIRARDEAU ENROLLMENT APPLICATION FOR CAPE GIRARDEAU Name of Camper: Date of Birth: County: * A separate Enrollment Application and Camper Portfolio must be completed for each child. Parent/Guardian Information Name

More information

2018 Business Associate Sponsorship Options

2018 Business Associate Sponsorship Options 2018 Business Associate Sponsorship Options P.O. Box 790 - Sherwood, OR 97140 Phone (678) 523-5915 - Fax (877) 872-3493 - Email: main@ohiomgma.com - www.ohiomgma.com members are healthcare leaders and

More information

Helping you take control

Helping you take control Migraine Insight Helping you take control Early bird discount before 7 th March 2015! Saturday 28 th March 2015 9.30am - 1.00pm Holiday Inn Cardiff City Castle Street, Cardiff, CF10 1XD. Booking Essential:

More information

IGH VELOCITY THRUST (GRADE V) SPINAL MANIPULATION COURSE PART 1

IGH VELOCITY THRUST (GRADE V) SPINAL MANIPULATION COURSE PART 1 H IGH VELOCITY THRUST (GRADE V) SPINAL MANIPULATION COURSE PART 1 This course will give the participants the knowledge and practical skills to safely and effectively perform localized spinal manipulations.

More information

Child s Legal Name: Nickname: Male Female. Birth Date: Age: School: Grade: FATHER STEPMOTHER GUARDIAN? Insured s Name: D.O.B. Social Security #:

Child s Legal Name: Nickname: Male Female. Birth Date: Age: School: Grade: FATHER STEPMOTHER GUARDIAN? Insured s Name: D.O.B. Social Security #: Welcome Welcome to our practice! We strive to make each of your child s visits pleasant and comfortable. Our goal is to teach your child oral habits which will help keep their smile beautiful for their

More information