Date of Birth
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Address Line 2*
Next of Kin (Full Name)*
Next of Kin Contact Number*
Registering for 1:1 LessonsGroup LessonsAdult SoulEarth ChoirBaby & Todd's Music
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(eg. After school, lunch break, after work, late evening, weekends etc.)
Only tick this box if you would prefer NOT to be included in group/student photos that may be taken for advertisement & performance purposes
*Please be advised, Registration form and Terms & Conditions must be completed, signed and submitted before the first lesson can commence.
If your details change, please email firstname.lastname@example.org as soon as possible.