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CPA - Application Form
Venue & Class
*
Please select
Ballyroan Monday - Inters (6-12yrs)
Ballyroan Monday - Seniors (13yrs+)
Kilcock - Musical Juniors (4-6yrs)
Kilcock - Inters (7-12yrs)
Kildare Town - Musical Juniors (4-6yrs)
Kildare Town - Inters (7-12yrs)
Ballyroan Wednesday - Inters (6-12yrs)
Rathangan - Musical Juniors (4-6yrs)
Rathangan - Inters (7-12yrs)
Rathangan - Seniors (13yrs+)
Student Name
*
First
Last
Student Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone
*
Parent/Guardian Email
*
Alt. Phone
Allergies, health/learning concerns, or other relevant information:
Term Fees (per 10-week term)
*
Musical Juniors - €90
Inters - €120
Seniors - €100
Mondays - €100
Sibling discount available - please enquire
Payment Method
*
Cash
Bank Transfer (please request IBAN)
Revolut
*
I consent to allowing CPA to store the information provided in this application form, and use it to contact me.
*
I agree to CPA's terms & conditions
Available here: https://www.thecpa.ie/wp-content/uploads/2026/06/CPA-TCs-June-2026.pdf
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