The Introductory Day for all new students will be on Saturday 16th September at Trinity Methodist in ChelmsfordandCentres will open the week of Monday 18th September.

In the daytime atChelmsford (Friday)

*Stratford OR Woodford (Wednesday)

*(Please state your preference of venue. The venue with the most applicants will

go ahead and you will be informed which one that is in your confirmation letter)

In the evening atBrentwood (Thursday)

Burnham-on-Crouch (Wednesday)

Colchester (Wednesday)

Frating (Thursday)

Halstead (Tuesday)

Harlow (Tuesday)

Pitsea (Thursday)

Tiptree (Thursday)

South Shoebury (Wednesday)

Please indicate your first and second choices on the form below and return it with to:

Diane Hardy, Diocesan Office 53 New Street, Chelmsford, CM1 1AT

FULL NAME:………………………………………………………………………………………………….(Mr/Mrs/Miss/Dr/Other)

Please complete the enclosed data protection form. Your data will be kept in accordance with the Chelmsford Diocesan Board of Finance’s data protection policy. Your data will be stored and maintained by the course administrator. Your contact information will be shared with your course tutor as they may need to contact you (for example – to notify you of a session cancellation). If you have any queries please contact Diane Hardy.

Are there any particular circumstances that we should be aware of (e.g. wheelchair access or hearing impairment?)

…………………………………………………………………………………………………………………………………………….

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First choice of Centre…………………………………………………………………………………………………………………

Second choice of Centre………………………………………………………………………………………………………………

CCS fees for 2017-2019 are £150 per annum or £50 per term (3 terms per year) and to make things more convenient the following payment options are available:

£150 Annually

£50 on registration then £50 in January and April

Payment by cheque made payable to CDBF and sent to the CCS Administrator, Diocesan Office, 53 New Street, Chelmsford CM1 1AT

OR

Call the Chelmsford Christian Bookshop on 01245 294405 to pay by debit or credit card, quoting your name and which Centre you wish to attend

OR

Via BACS, quoting CCS/(your surname) to Barclays Bank

Sort Code 20-19-95

Account number60269603

Account NameCDBF

Please note that in certain circumstances some parishes and local churches are willing to pay all or part of the fees.

Once your application and fee have been received, we will confirm which centre you have been registered with and details of the relevant venue. Arrangements for the introductory day will be sent nearer the time.

Please keep this part of the form for your information.

Further information can be found at:

…………………………………………………………………………………………………………………………

I wish to enrol for Year 1 and enclose a cheque for (tick where appropriate):

£150

£ 50 followed by £50 each term

OR

I have made a bank transfer to the account details above/telephone payment (delete as appropriate)

of £……….. on …………… (date)

I understand that this will returned if I withdraw before the Course starts, less a fee of £5 before the

1st September and £10 thereafter

Signed……………………………………………………………………….Dated………………………………….

FOR OFFICE USE ONLY

Cheque received £……………………………………………………………….(Year 1)

Cheque received £……………………………………………………………….(Year 2)