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 *

Child School Year

Waitlist Specific Request

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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