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Ongar Centre
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Carpenterstown Centre
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Castleknock Centre
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Enrolment Form
Enrolment Form
Fill out the form below to enrol in CSM.
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" indicates required fields
I am enrolling for:
*
Castleknock Music School
Mini Music Academy
Name of Applicant
*
Mother’s Name
Father's Name
Date of birth (if under 18)
DD slash MM slash YYYY
Age
*
Gender
*
Male
Female
Other
Contact Address
Street Address
Address Line 2
Town/City
County
Post Code
Nationality
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Email
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Please select the Mini Music T-Shirt size for your child
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-- Please Select --
3-4 Years
5-6 Years
7-8 Years
Phone Number
*
Primary Care Mobile 1
Primary Care Mobile 2
Do you have any other family member at the school?
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Yes
No
Choose at least 3 preferred days for your classes
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Times available to attend class
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Preferred duration of class:
20 mins
30 mins
40 mins
Preferred MMA Centre
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Ongar Centre
St Brigid’s Centre.
Castleknock Community College Centre
Preferred CMS Centre
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Ongar Centre
St Brigid’s Centre.
Castleknock Community College Centre
Online
Select Class
*
MMA Class Selection for Ongar Centre
Busy Babies (6-24 Months) Saturday 15:40
Bonny Bluebirds (2–3 yrs) Thursday 10.00
Bonny Bluebirds (2–3 yrs) Saturday 11:10
Red Robins (3-4 Yrs) Thursday 13:20
Red Robins (3-4 Yrs) Saturday 10:30
Pink Bears (4–5 yrs) Thursday 14:00
Pink Bears (4–5 yrs) Saturday 12:40
Yellow Bunnies (5-6 Yrs) Monday 14:10
Yellow Bunnies (5-6 Yrs) Thursday 14:30
Yellow Bunnies (5-6 Yrs) Saturday 11:50
Green Frogs (6-7 Yrs) Monday 14:45
Green Frogs (6-7 Yrs) Saturday 9:40
Green Frogs (6-7 Yrs) Saturday 13:20
Select Class
*
MMA Class Selection for Castleknock Community College
Bonny Bluebirds (2–3 yrs) Saturday 9.50
Red Robins (3-4 Yrs) Saturday 10.30
Red Robins (3-4 Yrs) Saturday 11.10
Pink Bears (4–5 yrs) Saturday 12.10
Yellow Bunnies (5-6 Yrs) Saturday 9.00.
Green Frogs (6-7 Yrs) Saturday 12.50.
Select Class
*
MMA Class selection for St Brigid's Centre
Pink Bears (4–5 yrs) Saturday 12.20
Yellow Bunnies (5-6 Yrs) Saturday 11:10
Yellow Bunnies (5-6 Yrs) Saturday 11:45
Green Frogs (6-7 Yrs) Saturday 13.00
Is the applicant a beginner?
*
Yes
No
Current level/previous experience
*
Have you an appropriate instrument?
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Yes
No
What instrument does the applicant wish to study?
*
-- Please Select --
Piano
Keyboard
Violin
Viola
Cello
Voice
Acoustic Guitar
Electric Guitar
Bass Guitar
Ukulele
Recorder
Flute
Clarinet
Saxophone
Oboe
Drums
Musicianship Theory
Leaving Cert Practical
Leaving Cert Academic
How did you hear about Castleknock School of Music?
Friend / Relative
Website
Online Advert
Flyer
Draiocht
Blanch Library
Social Media
Other
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.
Choose which best describes your situation
*
I confirm my child is to be enrolled in group musicianship theory classes in tandem with instrument class
I confirm that the applicant is over 10 years of age and wishes to be exempt from attending group musicianship theory classes
I have submitted a €50.00 Registration / Re-Registration Payment to reserve the above class by:
*
I understand that this is part of the yearly tuition fee and my school fee invoice in September and January will automatically be adjusted downwards by €25.00 to take account of this registration payment.
Cash / Card at Reception or by Phone
Bank Transfer
Online at www.easypaymentsplus.ie
Pay on EPP here
Terms and Conditions
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Terms and Conditions
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