Blanchardstown School of Music, First Floor, Unit 103, Coolmine Industrial Estate, (Beside Power City), Dubln 15. Phone: +353 (0) 1 810 3504 Email: info@blanchmusic.com
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Name:*
Address:*
Email:*
Home Phone No.:
Mobile Phone No.:*
Date of Birth:*
Group or Private: Group Private
Instrument: Select Instrument Keyboard Acoustic/Electric Guitar Drums Bodhran Classical Guitar Electric Bass Violin Piano Vocals Saxaphone/Clarinet
Experience: Select Experience Beginner Improver Intermediate Advanced
Name of Guardian/Parent (If under 18):*
Do you have an instrument to practice with?:
Can you read music? Yes No
Any special needs?
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