Music Class Application Form        Iarratas ar Ranganna Ceoil

please enter one application per student/per class

Parent/Guardian Details
Student Details

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If junior, please enter date of birth

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Any siblings currently in our classes?

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Are you currently, or have you been, a member of, or taking classes, at another branch of Comhaltas?

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Any medical condition that you wish to make us aware of. If none, leave blank

Do you consent to Craobh Niall Ó Cathasaigh using photo/video of your child for publicity etc ?

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