Online Composition Academy Application Form

Online Composition Academy Programme:
2021 – 2022

Name of Parent(s)/Guardian(s):

Postal Address:

Email Address:

Contact Telephone Number:

Child's Name:

Child's Date of Birth:

Child's Gender:
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Child’s Study Instrument (if applicable):

Reason for application (please provide as much detail as possible):

Would you like to receive communications from The Purcell School Online Composition Academy regarding further events? (required)
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I consent to The Purcell School Online Composition Academy contacting me by: (required)
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