Interest in Joining The Music Bus Program

Interest in Joining The Music Bus Program

Please fill in 1 form per child.

Parent Full Name*

Child Full Name*

Mobile Number*

Parent Email*

Address (Home or Postal)*

School*

Child Instrument*

Select or enter value

Child School Year

Select or enter value

Only check this if the parent has specifically requested a class day and time, otherwise leave it unchecked.

Waitlist Specific Request

Specific Request Class Day and Time

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