Art Studio
Booking Form
Course Title ………………………………………………………………...
Date of Course ...………………………………………………………………
Please complete and return with a £50 deposit (non
refundable), the balance payable 10 days before course
commencement.
Payable to: Miss Lisa Jayne Bloomer
The Stables
Radford Farm
Radford
Near Enstone
Chipping Norton
Oxon OX7 4EB
Name ..………………………………………………………………..
Address ..………………………………………………………………..
..………………………………………………………………..
..………………………………………………………………..
..………………………………………………………………..
..………………………………………………………………..
Post Code ………………….
Telephone No. …………………………………………………………………
Mobile
Phone No …………………………………………………………………
Emergency …………………………………………………………………
Tel No.
E.mail ……………..…………………………………………………..
Allergies …………………………………………………………………
…………………………………………………………………
Other Course Interests
…………………………………………………………………………………………..
…………………………………………………………………………………………..
Experience in Art & Design
…………………………………………………………………………………………..
…………………………………………………………………………………………..
Age of child …………………………………………………………………
if applicable