Irish Arts Academy of Indianapolis

FALL 2020 On-Line Lessons Registration Form

10 weeks of On-Line private lessons, Sept 19th - Nov 21st.

You and your instructor will determine your lesson schedule.

Thank you for registering your class(es) with the Irish Arts Academy. We will be in touch soon with confirmation and detailed information.

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Name of Student
Address
City, State, Zip
Phone Number
Email Address
Age Range	18 and Under 19-25 26-39 40-50 51+
Parent/Guardian if student is a minor
Address if different from student
City, State, Zip
Phone if different from student
Email if different from student
Please choose your Class	Accordion Banjo (Tenor) Bodhrán 1 Bodhrán 2 Concertina Fiddle 1 Fiddle 2 Flute 1 Flute 2 Irish Style Guitar Harp Irish Language Mandolin 1 Mandolin 2 Whistle 1 Whistle 2
What is your experience in music and/or the Irish language?	Beginner Intermediate
Please Explain
I give my consent to use photos or videos of myself or my student taken by Academy personnel for public or promotional use.	Yes No
Anything else you feel we need to know?

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Irish Arts Academy of Indianapolis

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FALL 2020 On-Line Lessons Registration Form

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