At-School Enrolment Form

STUDENT DETAILS *

First Name

Last Name

Date of Birth *

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DD

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Gender *

Male

Female

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Other

Prefer not to say

PRIMARY PARENT / GUARDIAN DETAILS *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about us? *

Word of Mouth

Online Search (e.g. Google, Bing)

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Advertisement (e.g., Online Ad, Billboard)

A Friend or Family Member

School Event or Performance

Community Event or Fair

Other

Apollo's Terms & Conditions *

I Agree to Apollo Music Academy's Terms & Conditions