Enrolment Form

Please select the Mini Music T-Shirt size for your child*

Primary Care Mobile 1

Primary Care Mobile 2

Times available to attend class*

Preferred MMA Centre*

Preferred CMS Centre*

Select Class*

MMA Class Selection for Ongar Centre

Select Class*

MMA Class Selection for Castleknock Community College

Select Class*

MMA Class selection for St Brigid's Centre

Current level/previous experience*

What instrument does the applicant wish to study?*

Another other information

Please convey any other relevant information including any medical conditions, allergies or special needs relating to your child that may affect your child’s behaviour in class or ability to learn. All information will be treated in the strictest confidence.

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Name

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