SqueezEast 2022 Booking Form
Sunday 12th June 2022
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 :
Town & County of Residence:
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?
Yes
No
Dietary restrictions?
Yes
No
Please give details :
Mobility or other restrictions?
Yes
No
Please give details :
Do you wish to be added to our mailing list for future years?
Yes
No
Any other information :