The Artane School of Music -Home of the World Famous Artane Band Student Member Enquiry Form Name of Ensemble or Activity Required Introduction to Music Recorder Group Junior Ensembles Music Theory Lessons (ABRSM) Junior Certificate Music Leaving Certificate Music Individual Instrument lesson Student Name: _________________ Date of Birth __/___/______ Address ______________________ ____________________________ ____________________________ School _______________________ Parent/Guardian ________________ Contact Details (P) _______________ (M) _______________ (E) _______________ Personal Details Please Complete and Return To: The Administrator Artane School of Music St. Davids Park Artane Dublin 5 353 1 8318929 (E) [email protected] (w) www.artaneband.com