July Holiday
Music Class

Payment for the session must be made to

the following account to secure registration.

Acc Name: LITTLE HOUSE OF MUSIC

BSB: 062-692 Account: 48481137

Reference: "Your Name/Child's Name"

First Name

Address

Child's Name

Last Name

Phone

How did you hear about Little house of Music?

Child's Age

I give permission for images in which I, and/or my child appear, to be used for promotional use

Yes

I understand that payment must be made to secure class enrolment.

Yes

Terms and Conditions:

Fee for the Class is due upon registering to secure your place as class size is limited ($25)

Acc Name: LITTLE HOUSE OF MUSIC

BSB: 062-692 Account: 48481137
Reference: 'Your Name/Your Childs Name'

Payment must be made to secure your registration. See you soon at Little House.

Email: kimberley@littlehouseofmusic.com.au
Tel no: 0447 317 426
Location: 32 Cassino Drive, Stirling, WA 6021