Extra Curricular - Music 2020_Eamon Dilworth
Please indicate which programs your child wishes to participate by completing this Application Form.
Spaces will be allocated on a first in, first serve basis.
Enrolments are applicable for Semester 1, 2020 (Terms 1 & 2).
Lessons begin in Week 3 of Term 1
Email address *
Student Name *
Student Name in Full e.g. Sarah Brown
Your answer
Year group in 2020 *
Your answer
Parent Name *
Your answer
Parent Contact Number *
Your answer
Email address *
Your answer
Pick up contact details *
Name and phone number
Your answer
Brass Instrument
Your answer
By submitting this form, I agree to:
1. pay for the lessons promptly upon receipt of invoice;
2. ensure the full commitment of my child for the duration of each Semester (Terms 1 & 2 and Terms 3 & 4); and
3. the general Terms and Conditions set out on the Extra Curricular page of the school website.
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