BOOKING FORM
For September 2003 term (12 weeks)
Commencing September 8/9/10/11/12

Name of Parent/Nanny: .................................................................................
Name of Child/Children: ............................................  Date of Birth ..............
Address: ..................................................................................
  ..................................................................................
  ..................................................................................
Telephone: Day ...............................   Evening .........................…
   
Please register my child at the following venue and I enclose a non-refundable £5 registration
fee.
NB, Please indicate first and second choice.

Potters Bar Monday 9.30 am _____**
    10.30 am _____**
       
Bushey Monday 10.00 am _____*
    11.00 am _____*
  Tuesday 10.00 am _____
    11.00 am _____
       
Shenley Tuesday 9.45 am _____
    10.45 am _____
       
Borehamwood Wednesday 10.00 am _____
    11.00 am _____
       
Radlett Wednesday 10.00 am _____
    11.00 am _____
    1.00 pm _____
    2.00 pm _____
       
Potters Bar Thursday 9.30 am _____**
    10.30 am _____**
  Friday 9.30 am _____**
    10.30 am _____**
       

* Please note there will be no sessions in Bushey on Monday 6th of Oct.
** Please note there will no sessions in Potters Bar on the 1st, 4th & 5th of Dec.

I agree that if I accept a place, Honky Tonks cannot be held responsible for any loss, theft
or damage to personal property.

   
Signed ....................................... Date ............................................
 
(Please print out, fill in and return to 58 Newberries Ave, Radlett, Herts, WD7 7EP)