Student Member Enquiry Form Personal Details
Name of Ensemble or Activity Required
Student Name: _________________
Introduction to Music Recorder Group Junior Ensembles Music Theory Lessons (ABRSM) Junior Certificate Music Leaving Certificate Music Individual Instrument lesson
Date of Birth __/___/______ Address ______________________ ____________________________ ____________________________ School _______________________ Parent/Guardian ________________ Contact Details (P) _______________ (M) _______________ (E) _______________
Please Complete and Return To: The Administrator Artane School of Music St. Davids Park Artane Dublin 5 353 1 8318929 (E) artaneband@gmail.com (w) www.artaneband.com
The Artane School of Music -Home of the World Famous Artane Band