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THE ALLEYNE SCHOOL
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Prefix
My Name:
My Birth Date:
Spouse Namel:
Spouse Birth Date
Address
Email
Child A Namel:
Child A Birth Date:
Child B Namel:
Child B Birth Date
Child C Name:
Child C Birth Datel:
Child D Name
Child D Birth Datel:
Fathers Name:
Fathers Birth Date:
Mothers Name:
Mothers Birth date:
Gfathers Name:
Gfathers Birth date:
Gfathers Death Date:
Gmothers Name:
Gmothers Birth Date:
Gmothers Death Date
PAYMENT OPTIONS:
Please return this application form with your cheque to
Alleynes Barbados Inc.
"Overdale", Graeme Hall Terrace, CH-CH, BB15049, Barbados or email to Andrew@alleynebarbados.org
PLEASE MAKE ALL CHEQUES PAYABLE TO: ALLEYNES (BARBADOS) INC
You may also pay on the internet using Paypal.
Annual Membership Fee Bds. $100 (US$50)
Membership Application Form
Optional information
