ICC Music Class Registration 2020 Winter Term
Check Website for course dates.

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Email *
Name: *
What class would you like to register for? *
Address:
Date of Birth (dd/mm/yyyy):
Telephone Number: *
Occupation:
Is this your first time participating in the Irish Cultural Centre Education Programme?
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If you answered 'No' to the last question please tell us which class:
Are you Irish Born?* *
*Not a requirement
Are you of Irish descent?* *
*Not a requirement
How did you hear about the centre?
How would you like to pay? *
Paypal link will appear for everyone once submitted regardless of answer.
Do you accept the terms and conditions as stated below: *
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I confirm, by signing below, that I have read and accepted the terms and conditions of subscription and participation in the ICCH Ltd Education Programme* and all information given is up to date and correct. *
Please sign by typing name and date.
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A copy of your responses will be emailed to the address you provided.
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