Email address of Donor: Tel No of Donor:

DONATION AGREEMENT TO BRIGIDINE PIPWG DONATION TRUST FUND (“the Trust”)

DATED this ……………………………… day of …………………………………………………………………………………2011

(to be dated by the authorised Trustee who signs on behalf of the Trustees & to be dated as the same date that

the authorised Trustee signs)

THIS AGREEMENT is entered in to between the following parties:

(1)__________________________________ of _______________________________________

And (2) ______________________________________of ________________________________

(referred to as the “Donor” a reference to the singular includes the plural and vice versa)

AND

The Trustees of the Brigidine Pro Independent Parent Working Group Donation Trust (“the Trustees”) acting

by one of its authorised Trustees.

1. The Donor hereby donates the sum of £________________ (the “Donor Donation” )to be held in trust

upon the terms of the Trust as more particularly set out in the Trust Deed establishing the Trust dated

26th January 2011 a copy of which is attached at Annex 1 hereto (“the Trust Deed”).

2. The Donor hereby acknowledges, agrees and confirms that by its execution of this Donation

Agreement the Donor shall be deemed to be a party to the Trust Deed as of the date hereof and shall

have all of the rights and obligations of a Donor as referred to in the Trust Deed. The Donor hereby

ratifies as of the date hereof and agrees to be bound by all of the terms, provisions and conditions

contained in the Trust Deed and acknowledges that other donors will likewise be entering in to similar

Donor Agreements to the Trust Deed.

3. The Donor hereby acknowledges, agrees and confirms that by its execution of this Donor Agreement

that his/her Donation hereby made in to the Trust Fund may be paid out of the Trust Fund upon the

terms and as stipulated by clause 18 of the Trust Deed without further reference or notification to the

Donor and that once paid out to the School under the terms of clause 18 (i) of the Trust Deed the

Donor will have no further claim or interest in the Donor Donation funds.

4. This Donation Agreement may be executed in any number of counterparts, each of which shall be

deemed an original, but all of which together shall constitute one and the same instrument.

Transmission by email or facsimile transmission of an executed counterpart of this Donor Agreement

shall constitute due and sufficient delivery of such counterpart.

IN WITNESS WHEREOF the parties have caused this Agreement to be executed as of the date first above

written:

DONOR(S)

Name(s) of Donor(s)………………………………………………………....................................................................

Signature(s) of Donor(s) ………………………………………………………………………………………………………………….

AUTHORISED TRUSTEE

Signed on behalf of the Trustees by way of acceptance on this ………….. day of ………………………2011 by (insert

name)……………………………………………………………….. (a duly authorised Trustee of the Trust)

Signature of Trustee………………………………………………………………………………………………………………………….

ANNEX 1 – A COPY OF THE BRIGIDINE PRO INDEPENDENT PARENT WORKING GROUP- DONATION TRUST

DEED dated the 26th

day of January 2011 attached overleaf