Music Centre Membership/Tuition Enrolment Form

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* Music Centre

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* First Name of Child

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* Last Name of Child

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* Instrument(s) Played

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* School / College / Other

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* Date of Birth (DD/MM/YYYY)

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* Name of Parent / Carer

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* Home Address

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* Post Code

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* Contact Email Address

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* Contact Number

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* Emergency Contact Name 1

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* Emergency Contact Number 1

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* Emergency Contact Name 2

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* Emergency Contact Number 2

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* Emergency Medical Information / Medication

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