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Music Class Application Form        Iarratas ar Ranganna Ceoil

please enter one application per student/per class

Parent/Guardian Details
Student Details

Please Tick one

If junior, please enter date of birth

Please Tick one

Please Tick one

Any siblings currently in our classes?

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

Please Tick one

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 ?

Please Tick one

Your application has been submitted

An error occurred. Check that all necessary boxes have been completed (highlighted in Red if not)

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