District No.

In the matter of ......... a child

...... Applicant

of .......

....... Respondent

of .......

WHEREAS ON APPLICATION by the above-named health board under section 18 (1) of the above-mentioned Act for an order with respect to the above-named child, the court on the ... day of ..... 19... made a care order committing the child to the care of that health board,

AND WHEREAS in addition to such order the court made a contribution order requiring the parents) of the child to contribute to the health board the weekly sum of £... towards the costs of maintaining the child for the whole of the period during which that care order is in operation,

NOW, THE COURT on the application of the applicant herein under section 18 (8) of the Act to *vary *discharge the contribution order,

being satisfied that notice of the application herein was duly served, and

having heard the evidence tendered herein,

HEREBY ORDERS that the said contribution order

*be discharged

*be varied as follows:—

Dated this ... day of ...... 19....

Signed .............

Judge of the Children Court

* Delete words inapplicable