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Bursary Declaration

Please complete this form to enable us to process the bursary ahead of attendance on the course.

Name of parent/guardian
Name of child attending the course
By accepting the Action for Stammering Children Bursary, you confirm that you will use the funds provided to you to enable you and your child to access the Intensive Summer Course run by City St George's University. Please indicate that you confirm that the funding will be used appropriately to enable your child to attend this course.
In the event that your child is unable to attend all or part of the course, you understand that we may ask you to return any funding that has not been used to attend the course.
This field is for validation purposes and should be left unchanged.