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* 1. Address

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* 3. Please tick below to confirm you have paid £20 via Bank Transfer to: 

Account/Payee Name: The Oxford Parent Infant Project
Bank Name: The Co-operative Bank
Sort Code: 08-92-99
Account Number: 65234507
Ref: Your Name

Some of the content of our lectures is highly confidential, for which we have gained specific consent for us to share. You are required to sign this confidentiality clause before watching the lecture. 

I confirm that I understand that the video material to be shown may be watched and discussed for training purposes during the lecture only. 

I undertake not to discuss any of the material in any other setting.

I agree not to record any part of the recording via photograph/video/audio or any other means.

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* 4. I have read and understand the above information

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* 5. Please enter your name below to sign this form

Thank you for completing this form. Once we have received the payment you will be granted access to the recording for a limited period.