Student Info

Adult

Child

Name *

First Name

Last Name

Phone 18+ *

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###

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Please select which school you attend:

Mayo School of Music - Kiltimagh

Mayo School of Music - Castlebar

Please select the relevant age range:

Under 10 years

10 to 14 years

15 to 18 years

18 to 25 years

26 to 35 years

36 to 45 years

46 to 55 years

56 years or Older

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country