Caroline Springs School

of Music & drama

Name of student (s)

Languages spoken at home

D.O.B

Age

Name of primary or secondary school

Instrument

Previous experience/music schools

Time Slot

Day

Does the student have special needs?

Would you like to prepare for exams? yes/no

Street adress

Parent /Guardian Name?

Suburb

Post Code

Home Phone /Mobile 2

Email address

Mobile

Ocupation

How did you hear about us

Date

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