APPLICATIONS

to the Chairman :

Eve Wilson MBE
Corner House
Amington Hall
Ashby Road
Tamworth
Staffordshire
B79 0BX

Interested Applicants/parents are invited to print, complete
and return the following enquiry slip.

IN CONFIDENCE


NAME OF PARENT/GUARDIAN/CARER

.....................................................................................

ADDRESS

.....................................................................................

.....................................................................................

.....................................................................................

NAME OF SON/DAUGHTER/FRIEND

.....................................................................................

DATE OF BIRTH

.....................................................................................

TYPE OF HANDICAP

.....................................................................................

.....................................................................................

YOUNG PEOPLE WITH SPECIAL NEEDS WILL ALWAYS BE WELCOME IRRESPECTIVE OF RELIGION, RACE, COLOUR OR CREED

Kindly return this form to

to the Chairman :

Eve Wilson MBE
Corner House
Amington Hall
Ashby Road
Tamworth
Staffiordshire
B79 0BX

 

 

 

Thaddeus Trust
Registered Charity No. 1000028

Email: susan.eleanor.powell@gmail.com

updated Aug 2016

000webhost logo