╨╧рб▒с>■  *,■   )                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴a Ё┐ jbjbД,Д, ┐ юNюN       И┤┤┤┤┤┤┤Ї╝ ╝ ╝ ╝ ╚ Ї ъЁ Ё Ё Ё Ё Ё Ё Ё d f f f f f f ,√ RM~Т 9┤Ё Ё Ё Ё Ё Т X ┤┤Ё Ё ╦ X X X Ё :┤Ё ┤Ё d X ╚▄┤┤┤┤Ё d X X ┤┤X ф [t└╝ * .X X с 0 X ╦X ╦X X ┤ЇЇ° ─ЇЇ°  PERSONAL DETAILS Surname First Name Sex _______________________ ___________________ M/F Address________________________________________________________________ Postcode__________________ Phone no.___________________________________ Date of birth_______________________Age___________________________________ School attended____________________________________________________________ PARENT/GUARDIAN Surname First Name Title ______________________ _____________________ ________ Relationship to student__________________________________________________ Phone number (if different from above)____________________________________ EMERGENCY NAME AND CONTACT NUMBER (In case of emergency we will call your first number. If there is no response we will call your emergency number.) Surname First Name Title ______________________ _____________________ ________ Relationship to student__________________________________________________ Phone number ____________________________________ MEDICAL DETAILS Please give details of any medical conditions of which Off the Ground Youth Theatre staff should be aware. (eg. asthma, epilepsy, diabetes, skin problems, dyslexia.) This information will be kept in the strictest confidence. DECLARATION I _________________________ being the parent/legal guardian of ____________________________declare that the information given in this application is correct. I enclose a cheque for г147 in respect of one termТs fees. Alternatively, payment can be made in instalments with three cheques of г51, the first dated at time of application, the second dated one month later, and the third two months later. All three cheques must be received at time of application.* There is a г6 administration fee when paying in instalments. I understand that Off the Ground Youth Theatre reserves the right to restrict admission at its own discretion, and in the event of this registration being refused my cheque will be returned forthwith. Signed________________________________________ Relationship to student__________________________ Date__________________________________________ All classes take place in the drama studio at Calday Grange Grammar School, West Kirby, Wirral. Please select preferred time: " SATURDAY GROUP Saturdays 2pm-5pm " WEDNESDAY GROUP Wednesdays 6pm-9pm " THURSDAY GROUP Thurdasy 6pm - 9pm Admission is on a strictly first come, first served basis. Once a place has been accepted the terms fee is non-returnable. *For alternative payment plans please call 0151-625-2929 Ра∙ ы ь ю ╨ ╩ъ8bЖ ·Ў·Ў·Ў·я·Ў·я·я·я· h%·5БCJh%· h%·CJ./`aйклїЎABОПРаб╛┐ЎўABНО░¤√¤¤¤¤¤¤ё¤¤¤¤¤¤¤¤√¤¤¤¤¤¤¤¤¤¤ &d P╞   ■░$ A B y z ─ ┼ ў ° ∙ ы ь э ю ·   ╨ ╤ fh╞╚`КМ¤¤¤¤¤¤¤¤¤¤√¤¤¤¤√∙∙∙¤¤¤¤¤¤¤¤¤¤М╚╩bож ¤¤¤¤¤¤¤A0░┤A ░|.!░а"░l#Рo$Р┬%░░┼░┼ P0 Р┼Є╥Є╨Є|hh @с ╙ ╪ rE│▀yhh @сhP @'@dE"! ╚DИT#┌Qе"еD@ё D NormalCJOJPJQJmH sH tH <@< Heading 1$@&5БCJDA@Є бD Default Paragraph FontZi@є │Z  Table Normal :V Ў4╓ l4╓aЎ _H(k@Ї ┴(No List 8B@Є8 Body TextdhCJ  C "  ФMsю ./`aйклїЎABОПРаб╛┐ЎўABНО░$AByz─┼ў°∙ ыьэю·╨╤34cd░┼╞фх 1 W ╙  Ш0ААРа╦А0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦0ААРа╦Ш0ААРа╦АШ0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦Ш0ААРа╦`aйкл l(XП ┐рl(XП ┐Аl(XП ┐АmА"\Т8П ┐А \Т8П ┐р  ░М    uw ТШC K  ─═uw╞╚ :::  @А  nzмм  " эН4 @ @@@@$@  Unknown            GРTimes New Roman5РАSymbol3Р Arial3РTimes"qИЁ╨hPУЛЖ╨дfzoщЁе└┤┤А>4d[ 0Ё▀▀Ё                      %·  PERSONAL DETAILS Administrator Stewart Jones■  рЕЯЄ∙OhлС+'│┘0pИРм╕╨▄ь  , 8 DPX`h'PERSONAL DETAILSsЖAAdministratorLSЖANormalSStewart JonesLS3AMicrosoft Word 11.2@F├#@└^]h═─@д,B╝h╞zo■  ╒═╒Ь.УЧ+,∙о0 hpИРШа и░╕└ ╚ х'Off The Ground[  PERSONAL DETAILS Title ■   ■    ■   "#$%&'(■   ¤   +■   ■   ■                                                                                                                                                                                                                                                                                                                                           Root Entry         └FА4И├─h╞-А1Table        WordDocument        ┐ SummaryInformation(    DocumentSummaryInformation8            !CompObj            X                        ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8