Mini Music Academy New Student Registration Form 2019/20
Use this form to register your child for the CSM Mini Music Academy for 2019-2020 academic year.

Please note that a payment of €50 is required as a re-registration fee to secure your child's place, this fee will be deducted from your annual fee in September.
Email address *
Online Payment Required
As part of this form, you will need to pay your registration fee of €50 using our online payments solution, Easy Payments Plus. A link for this Easy Payments Plus will be provided later. Please do not continue if you cannot pay online - you can find offline versions of this form on our website at www.minimusicacademy.com.
Student Details
Please provide information on the student that you are registering in MMA.
Student First Name *
Your answer
Student Surname *
Your answer
Student Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age 1st September 2019? *
Your answer
Any medical conditions, allergies, special needs or learning difficulties that we need to be aware of? *Please note this is kept strictly confidential and is only for the benefit of your child's care and learning.
Your answer
Do you have any other family member at the school? *
Parent/Guardian Details
Please provide details for a parent guardian who we may contact regarding this childs progress, and/or in case of emergency.
Parent 1 / Guardian 1 Name *
Your answer
Parent 1 / Guardian 1 Phone Number *
Your answer
Parent 1 / Guardian 1 Email Address *
Your answer
Parent 2 / Guardian 2 Name
Your answer
Parent 2 / Guardian 2 Phone Number
Your answer
Parent 2 / Guardian 2 Email Address
Your answer
Parent (s) / Guardian (s) Address *
Your answer
Landline Phone Number
Your answer
Easy Payments Plus Payment
The registration fee for students is €50. This can be paid online on Easy Payments Plus at: https://pay.easypaymentsplus.com/feepay1.aspx?id= 659

Please continue to this link and make payment as required. On the email receipt that you receive, please provide the receipt number in the form below.

To pay with Easy Payments Plus:
1. Log in
2. Select MMA/CSM as an organisation
3. Select Music Registration Fee
4. Make payment with card
Registration Fee Receipt Number *
Please enter the receipt number from your Easy Payments Plus invoice email in the box below.
Your answer
Class and Availability
Please choose the correct class, time and venue for your MMA class from the list below. Further information on classes below.

MMA Classes:
Busy Babies(6-24mths), Bonny Bluebirds(Age 2-3), Red Robins(3-4), Pink Bears(4-5), Yellow Bunnies(5-6), Green Frogs(6-7)

MMA Centres:
OTC = Ongar Tuition Centre (Castleknock School of Music, 4-5 The Mall, Ongar Village, Dublin 15)
CCC = Castleknock Community College (Carpenterstown Road, Castleknock, Dublin 15)
St. Brigid's = St. Brigid's National School, Beechpark Lawn, Castleknock, Dublin 15

Please note that your child's place is reserved ONLY on completion of form and registration payment.
If you have any queries or would like further information on any of the classes, please don't hesitate to contact us:

Email: info@castleknockschoolofmusic.com

Phone Reception: 01-8261100

Opening Hours:
Monday 14:00 - 19:00
Tuesday 14:00 - 19:00
Wednesday 14:00 - 19:00
Thursday 14:00 - 19:00
Saturday 10:00 - 16:00
Class Time *
Which class would you like to re-register this student for?
Required
How did you hear about Castleknock School of music?
Conditions of Enrolment
• Places cannot be reserved without receipt of a completed application form accompanied by a registration fee of €50 per child. Registration fees are
strictly non-refundable and non-transferable unless MMA are unable to offer your child a suitable place.
• Parents are requested to give more than one choice of day and time to ensure speedy processing of applications.
• Every effort will be made to facilitate parents with their preferred choice of class time upon the receipt of a completed application form and the appropriate registration fee. In the unlikely event that the school is unable to offer a place in any of your three preferred choices, we will contact you and refund your registration fee.
• Invoicing: From September 2016 all invoices will be issued via email. It is imperative that your current email address is on the form.
• The balance of the fees is due on or before the 10th September of each academic year unless you choose to avail of the MMA Payment Plan through
www.easypaymentsplus.ie. Failure to pay the balance may lead to the loss of the student’s place on the course.
• All classes take place subject to minimum numbers being met.
• The school reserves the right to make changes to class timetables or teachers if necessary.
• The school reserves the right to recommend a change in class day and time where the teacher feels that this would be of benefit to the child.
• If a child does not settle into a class within two to three weeks or if for any other reason the teacher or school director recommends that a child should not continue to attend classes, an allowance will be made for fees paid.
• If a parent decides to remove their child from the classes for personal reasons fees will not be refunded.
• Parents must ensure that their child attends regularly and on time for class as this is of the utmost importance for your child’s enjoyment and success in
the programme.
• For Busy Babies, Bonny Bluebirds and Red Robins, please note that one adult is required to attend with each enrolled child and that additional children should not be brought to class except in exceptional circumstances and with the prior agreement of the teacher. Where two or more children from the one family are enrolled in the same class, an adult should accompany each child.
• If a child's behaviour becomes disruptive during a class, parents are requested to take the child quietly from the room for a few moments until the child is happy to return to the class activities.
• Parents must ensure that children are collected promptly at the end of the class as late collections can be distressing and unsettling for young children. Teachers also need time between classes to prepare for the next group.
• Parents must collect their children from their designated classroom / studio. Under no circumstances can children be allowed to leave the class / studio until they have been collected by their parent / guardian.
I confirm that I have read the terms and conditions of enrolment at MMA/CSM and am aware that my enrolment is not complete until the 50€ registration fee has been paid. *
We thank you for registering with us and look forward to the year ahead!
Please note that submission of an online enquiry does not constitute a registration at MMA until the required REGISTRATION FEE has been submitted.

Note that you can pay online using Easy Payments Plus at:
CSM Classes: https://pay.easypaymentsplus.com/feepay1.aspx?id=91
MMA Classes: https://pay.easypaymentsplus.com/feepay1.aspx?id=659

To pay with Easy Payments Plus:
1. Log in
2. Select CSM as an organisation
3. Select Music Registration Fee
4. Make payment with card

Alternatively, call our call our Admin Team on 01 826 1100 and make payment over the phone during Reception Opening Hours:
Monday 15.00 - 19.00
Tuesday 14.00 - 19.00
Wednesday 14.00 - 19.00
Thursday 14.00 - 19.00
Saturday 10.00 - 16.00
A copy of your responses will be emailed to the address you provided.
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