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Castleknock Centre
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Enrolment Form
Enrolment Form
Fill out the form below to enrol in CSM.
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
*
Email
*
Please select the Mini Music T-Shirt size for your child
*
-- 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?
*
Yes
No
Choose at least 3 preferred days for your classes
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Times available to attend class
*
Preferred duration of class:
20 mins
30 mins
40 mins
Preferred MMA Centre
*
Ongar Centre
St Brigid’s Centre.
Castleknock Community College Centre
Preferred CMS Centre
*
Ongar Centre
St Brigid’s Centre.
Castleknock Community College Centre
Online
Select Class
*
Bonny Bluebirds (2 – 3 years) Saturday 10.10
Red Robin (3 - 4 years) Saturday 09.00
Pink Bears (4 – 5 yrs) Saturday 14.30
Green Frogs (6 – 7 yrs) Saturday 09.40
Bonny Bluebirds (2 – 3 years) Saturday 13.00
Select Class
*
Bonny Bluebirds (2 – 3) years Saturday 12.50
Bonny Bluebirds (2 - 3) years Friday 13.10
Red Robins (3 - 4 years) Years Saturday 10.40
Red Robins (3 - 4 years) years Friday 13.50
Pink Bears (4 – 5 yrs) Monday 14.00
Pink Bears (4 – 5 yrs) Saturday 10.00
Yellow Bunnies (5 – 6 yrs) Monday 14.20
Green Frogs (6 – 7 yrs) Monday 14.50
Green Frogs (6 – 7 yrs) Saturday 11.20
Red Robins (3-4 years) Friday 12.30pm
Select Class
*
Pink Bears (4 – 5 yrs) Saturday 12.10
Yellow Bunnies (5 – 6 yrs) Saturday 09.15
Green Frogs (6 – 7 yrs) Saturday 12.45
Is the applicant a beginner?
*
Yes
No
Current level/previous experience
*
Have you an appropriate instrument?
*
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. I accept the
T & C as outlined here
.
Online at www.easypaymentsplus.ie
Bank Transfer
Cash / Card at Reception
I have submitted a €50.00 Registration / Re-Registration Payment to reserve the above class by:
*
Online at www.easypaymentsplus.ie
Bank Transfer
Cash / Card at Reception
Terms and Conditions
*
I agree to the
conditions of enrolment
Terms and Conditions
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I agree to the
conditions of enrolment
GDPR Consent
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I agree to the
privacy policy
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