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Personal Details

Name *
Address 1 *
Address 2
City *
State
Post Code / Zip *
Tel *
Fax
Email *
Date of Birth *
Sex
Instrument
Description of level

Daytime Lesson Options

Fully Residential Package including tuition, lodging plus meals (shared room) $750
Fully Residential Package including tuition, lodging plus meals (single room) $950
Non-Residential package including tuition plus meals $575
Non-Residential package, tution only $450

Chaperone Details (if applicable)

Name
Address 1
Address 2
City
State
Zip
Tel
Fax
Email
Age
Sex
Relationship
Accommodation Type Room plus all meals (+$325)

Workshops ($50 per workshop)

Please tick the workshop(s) you would like to attend.
DayTimeWorkshopTick Box
Saturday6.30-8pmBellows: scottish small pipes & uilleann pipes
Saturday6.30-8pmWhistle: tin whistle & low whistle
Tuesday6.30-8pmBellows: scottish small pipes & uilleann pipes
Tuesday6.30-8pmWhistle: tin whistle & low whistle

I wish to sit the following examination

Exam
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