Please complete the relevant section(s) by indicating the applicable change(s), sign at the bottom. Please use NA where Not Applicable.
No changes or additional enrolments can take effect unless this form is signed and recieved by the UHCM.
I understand that there is a cost for the lessons or ensemble and this has been explained to me by the teacher/UHCM Office. I have read the Conditions of Enrolment provided with this form.