| Please print off, complete, and return to BSCA Awards Secretary, Jordans, Jordan Green, Whitwell, Norwich NR10 4RQ |
| SCHOOL:(BLOCK CAPITALS PLEASE) | ||
| BSCA Region | No on School Roll | |
| Address | ||
| Post code | Tel: | |
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| Cheques to be payable to BSCA |
TOTAL FEE ENCLOSED |
£ | ||||
I certify that the details given have been recorded and checked by me personally, and that the award attempts were conducted in compliance with the current BSCA Award Scheme Regulations Signed......................................... Designation........................................ Date.................................