Re-Enrolment Form

I am re-enrolling for:*

Castleknock Music School

Mini Music Academy

Do you require changes to your previous enrolment?*

Yes

Are you willing to change teacher?*

Yes

Do you require changes to your THEORY class?*

Yes

Name of Applicant*

Email*

Date of birth (if under 18)

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

Phone Number*

Select your first choice for your preferred day for your classes*

Select your second choice for your preferred day for your classes*

Select your third choice for your preferred day for your classes*

Preferred time for classes*

Other Time

Please tell us the time that suits you. We are open Mon-Sat, on weekday afternoons/evenings and Saturday morning/day.

Preferred duration of class:

20 mins

30 mins

40 mins

Preferred CMS Centre*

Preferred MMA Centre*

Select Class*

Class Selection for Castleknock Community College

Select Class*

Class Selection for Ongar Centre

Select Class*

Class Selection for St Brigid's Centre

Extra Information

Please use this space to describe any other information pertaining to changes you require if you see fit. 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.

I confirm I have made a payment of €50.00 by:*

Cash / Card at Reception or By Phone

Bank Transfer (IBAN IE35AIBK93251592205071)

Online at www.payzone.ie

The below link re-directs to our secure Payzone system, via a new tab. Your form will not be lost.

PAY HERE

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