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New Instrumental Student Enrolment Form ​
Childs Date of Birth
Child's First Name
Parent/Gaurdian Full Name
Child's Last Name
Email
Childs Date of Birth
Childs Date of Birth
Phone Number
Parent/Gaurdian Full Name
Parent/Gaurdian Full Name
Secondary Contact Full Name
Email
Email
Secondary Contact Email
Phone Number
Phone Number
Secondary Contact Phone
Secondary Contact Full Name
Secondary Contact Email
Secondary Contact Phone
Secondary Contact Full Name
Secondary Contact Email
Secondary Contact Phone
Address
Address
Address
Choosen an Instrument
Please tick all avalible days
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Earlist Possible Time
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Pay in Full - €1280
Pay by Installments 2/3 - €873.34
Complete Payment to Enrol
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