LRMS Application Form
First Name *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home Address *
Please provide us with your permanent address
Your answer
Home telephone number *
Your answer
Mobile number
Your answer
Names of Parent (1) *
Your answer
Names of Parent (2)
Your answer
E-mail Address for Parent (1) *
Your answer
E-mail Address for Parent (2)
Your answer
Name and Address of Child's School *
Your answer
Current School Year *
Your answer
Main Instrument
Studied instrument for
Date and Result of most recent exam passed (if any)
Your answer
Level achieved (grade or other)
Your answer
Current and previous teachers
Your answer
Other instruments (if any)
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