High Notes - Registration Form

Select the PRINT command from your browser to print this Registration Form, then click BACK to 
return to your previous location. This Registration Form will print on one A4 page. Please post each 
completed form to the address shown below.

Registration Form

Please provide one registration form for each child.

Name of child:

Date of birth:

Address:

Tel:

Email:

Name of Parent / Carer:

Signature of Parent /Carer:

Venue / Session time required:

How did you hear about High Notes?

Please enclose your cheque payable to Louise Cook and an SAE if you require a receipt.

Office:

High Notes Music
16 St Leonards Rd, Chesham Bois, Bucks
HP6 6DS

Telephone: 01494-725408

Email: highnotes@btopenworld.com