EmailMe Form - CPA - Application Form

Venue & Class *

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 concerns, or other relevant information:

Term Fees (per 10-week term) *

Musical Juniors - €90

Inters - €120

Ballyroan - €100

Sibling discount available - please enquire

Payment Method *

Cash

Bank Transfer (please request IBAN)

Revolut

Cheque (payable to Katie Burke)

Terms & Conditions

1 - CPA fees are non-refundable. Students who join late in the term will receive a reduction in fees corresponding to the number of weeks remaining.

2 - Our classes run in conjunction with the school calendar. Should we need to cancel a class for any reason, we will make this class up within the calendar year where possible or move to online learning as a last resort.

3 - During CPA classes, photos & videos may be taken by staff members for possible use on our website/social media. By enrolling in CPA, you give consent for your child to be photographed/videoed during class time.

4. All parents/guardians will be added to the relevant WhatsApp group in order to receive CPA updates/notices.

*

I have read and agree to these terms & conditions.

*

I consent to allowing CPA to store the information provided in this application form, and use it to contact me.