Please
contact the
Musicale Holiday Office for Party Bookings
PARENT/GUARDIAN
DETAILS
FIRST
NAME:
SURNAME:
ADDRESS:
POSTCODE:
TELEPHONE:
EMAIL:
APPLICANT
AND COURSE DETAILS
APPLICANT
1
NAME:
SURNAME:
ADDRESS:
PHONE:
EMAIL:
DATE
OF
BIRTH:
CENTRE:
COURSE
DATE:
COURSE:
Let's Make a Musical only available at
Salisbury & Harpenden
GRADE:
Please be
accurate
INSTRUMENT:
(Course A)
I
am paying the deposit
I
am paying in full
Please
tick whichever payment is being paid now and the price
will be calculated for you on the next page.
APPLICANT
2
NAME:
SURNAME:
ADDRESS:
PHONE:
EMAIL:
DATE
OF
BIRTH:
CENTRE:
COURSE
DATE:
COURSE:
Let's Make a Musical only available at
Salisbury & Harpenden
GRADE:
Please be
accurate
INSTRUMENT:
(Course A)
I
am paying the deposit
I
am paying in full
Please
tick whichever payment is being paid now and the price
will be calculated for you on the next page.
APPLICANT
3
NAME:
SURNAME:
ADDRESS:
PHONE:
EMAIL:
DATE
OF
BIRTH:
CENTRE:
COURSE
DATE:
COURSE:
Let's Make a Musical only available at
Salisbury & Harpenden
GRADE:
Please be
accurate
INSTRUMENT:
(Course A)
I
am paying the deposit
I
am paying in full
Please
tick whichever payment is being paid now and the price
will be calculated for you on the next page.
APPLICANT
4
NAME:
SURNAME:
ADDRESS:
PHONE:
EMAIL:
DATE
OF
BIRTH:
CENTRE:
COURSE
DATE:
COURSE:
Let's Make a Musical only available at
Salisbury & Harpenden
GRADE:
Please be
accurate
INSTRUMENT:
(Course A)
I
am paying the deposit
I
am paying in full
Please
tick whichever payment is being paid now and the price
will be calculated for you on the next page.
MUSICALE
POLO SHIRTS - £14.00 each It is hoped that as many members as possible will
want to order a Musicale embossed polo shirt to be worn
in the final concert. Place your orders for Polo Shirts
below.
Gold
Polo Shirt with embossed black logo - enter quantity
for each size required
26
28
30
32
Black
Polo Shirt with embossed gold logo - enter quantity
for each size required
32
34/36
38/40
42/44
Please
note there is a 2.3% excess charge for credit cards (not debit cards)
