Kids/Teens Registration | Ignite Music Academy

Student's Name

What Instrument do you want to learn

Guitar

Piano

Singing

Birthday

Does your child have any medical or personal issues that we should be aware of? If "Yes" please provide details that will help us to keep your child safe.

Parent/Caregiver Details - Name, Email, Phone & Address

I give Ignite Music Academy permission to use video footage and / or photographs of myself / my child for promotional purposes.

Yes

No

Student's favourite chocolate bar

How did you hear about Ignite Music Academy

Thanks for registering with Ignite Music Academy. We will be in touch soon.

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