Piano booking form

Once your booking has been checked and authorised, we will contact you to confirm the booking and the procedure for gaining access to the piano.

You must read and agree to the terms of the piano guidance before booking.

Anyone aged under 16 must be accompanied by a responsible adult.

For further enquiries, please contact the Communications team.

First name

Surname

Phone number

Email address

Home address

Date

Time

Level of competency

I am over the age of 16

Yes
No

Would you be happy to have a donation box for UHB Charity on or near the piano as you play?

Yes
No