Re-booking Form
Name of student:............................................................................
Tel. No.:........................ Email Addr:..............................................
Date of last course:............................................(month/year)
Please indicate below the number of courses previously attended:Please indicate below the student's current skill level:
¨ 1 to 2 ¨ 3 to 9 ¨ 10 or more Please note, lesson times are determined by the student's skill level. If you are unsure of the student's current skill level, please contact CYR. Please indicate below when you would like the new course to commence: NB:The latest information on course dates and times is availabile in the scrolling banner on our home page
¨ Beginner (level 1 & 2) ¨ Intermediate (level 3 to 6) ¨ Advanced (level 7 & 8)
¨ The next available course ¨ The course beginning the month of ........................... I enclose herewith a cheque for £........... as payment for the course of four lessons and I understand that is is my responsibility to ensure the student is available and on time to be taught and that the courses, once paid for are not transferable. Please make all cheques payable to S.Newell and write the cheque guarantee number on the back.
I have read the CYR website / accompanying letter providing full information about CYR.
Signed:............................................................... (Signature of parent/guardian is required if student is less then 18yrs old)Date:........................
eMail:info@chilternyoungriders.co.uk www.chilternyoungriders.co.uk Telephone: (01494) 728618
