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Play On: Young Musicians Mentor Program
- Applicant Form

Parental Consent Form

This form must be submitted by a parent before a student commences in the program. We will contact you to verify your details.

Name*

Phone*

Email*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

I give consent for my child to participate in Play On: Young Musicians Mentor Program

Parent's Name*

Child's Name*

Emergency Contact

Name*

Relationship*

Phone*

Email*

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