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Arpeggione Junior Course Application
August 2024
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* Indicates required question
Child’s Name
*
Your answer
Parent’s Name
*
Your answer
Email address
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Is viola the child’s 1st study?
*
Yes
No
Required
Approximate grade?
Your answer
Present teacher & phone number
*
Your answer
Any medications your child needs to take?
*
Your answer
Any dietary requirements?
Not including allergies.
Your answer
Allergies?
Genuine allergies only.
Your answer
Does your child have any educational differences?
Your answer
Arpeggione T-Shirts
For all concerts, students need an Arpeggione t-shirt, which can be purchased on the course for £10. If you don’t already have one, please choose an approximate size below.
5-6 yrs
7-8 yrs
9-10 yrs
11-13 yrs
How did you hear about Arpeggione?
Online
Word of mouth
Leaflet
Other:
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