MWVA Student Registration Form
Please complete the form fully for registration
Parent/Guardian Name
First Name
Last Name
Student Name
*
First Name
Last Name
Student Name (student 2 if applicable)
First Name
Last Name
Student Name (student 3 if applicable)
First Name
Last Name
Student Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Student 2 Date of Birth
-
Day
-
Month
Year
Student 3 Date of Birth
-
Day
-
Month
Year
Address
*
Street Address
Street Address Line 2
Town
County
Eircode
Contact E-mail
*
For receipt of school notifications and invoices
Mobile Phone Number
*
Main Contact for lessons. Please enter a valid phone number
Format: (000) 000-0000.
Alternative Phone Number
Other parent/guardian/grandparent/child minder Please enter a valid phone number.
Format: (000) 000-0000.
Scheduled Lesson Day & Time (if known)
Instrument Choice
*
Classical Singing
Singing for Musical Theatre
Piano
Guitar
Ukulele
Violin
Fiddle
Classical Flute
Traditional Flute
Recorder
Tin Whistle
Music Theory
Singing Buddies Club
MWVA Young Voices (Singing Group) New Sept 2026
Social Media Policy
I give my permission to Mid-West Vocal Academy & Music School to use any images or video of me/my child on the Mid-West Vocal Academy & Music School social media sites - Facebook, Instagram & Twitter as well as the school website - www.midwestvocalacademy.com. I understand that these images will be placed on the relevant social media site for a maximum of 2 years.
Individual Images
Individual Videos
Group Images/Videos
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