SqueezEast 2019 Booking Form
Sunday 9th June 2019

Please note the information you provide is only used for the SqueezEast event
It is stored securely and is not shared with any other organisations or individuals

Name :
Address :
Email :
Mobile phone :
for emergencies only



Type of Concertina : English    Anglo    Duet - which system?  


Please tick all that you will be bringing to the day :

         Piccolo (Treble line)    Treble (or Tenor/Treble)    Baritone

         Bass - would you like scores to be provided in Bass Clef?  YesNo

Dietary restrictions? YesNo
Please give details :


Mobility or other restrictions? YesNo
Please give details :


Do you wish to be added to our mailing list for future years? YesNo

Any other information :