Tel: 01344 643 312 Fax: 01344 640 849	Instructions
	1. First enter your data in the table below
	2. Print the completed form in black ink size A4 landscape this saves your colour cartridge and ensures all the information is printed on your form. If you prefer you can sign it electronically and email the form to enquiries
email: enquiries@binfieldconcertbrass.org.uk	3. If posting send to the address in 4
KIDS CHORUS APPLICATION FORM 2005	4. Membership Secretary Binfield Concert Band 2 Oakmede Place Binfield Berkshire RG42 4JF

First Name	Surname
No and Street	Tel No
Village/Town	Mobile No
Post Code	email address

Lessons First Choice	Monday Tuesday Wednesday Thursday Friday Day 1530 - 1630 1545 - 1645 1600 - 1700 Time	Lessons Third Choice	Monday Tuesday Wednesday Thursday Friday N/A Day 1530 - 1630 1545 - 1645 1600 - 1700 Time
Lessons Second Choice	Monday Tuesday Wednesday Thursday Friday N/A Day 1530 - 1630 1545 - 1645 1600 - 1700 Time	Lessons Fourth Choice	Monday Tuesday Wednesday Thursday Friday N/A Day 1530 - 1630 1545 - 1645 1600 - 1700 Time

Try to provide more than one choice, if you can't, please choose N/A

The above days and times are during term time only

Sign printed copy here