Welcome to Music With Miss Dolly 1-4yrs🎹🎵 2026- 2027
Please fill out this application form before attending the class.
Customer Details:
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Full Name
*
First Name
Last Name
Relationship to child
Parent
Grandparent
Caregiver
Other
Class you would like to register for.
Sunday - September 27th
Sunday - October 25th
Sunday 29th of November
Sunday 6th of December
Venue
Please Select
Busy Bees, Oranmore
Cregboy Golf Academy, Cregboy.
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Name of Child 1 and Age
How would you like to pay for the class?
Cash
Revolut (Please send in link)
Any medical conditions/ allergies or other?
How did you hear about Music with Miss Dolly?
Saw poster
Instagram/ Facebook or other social media
From a friend
From a preschool/toddler group
By registering for this class, you agree that photos or short video clips may be taken for program use. Children’s faces or identifying features will not be shown.
Please Select
I have read the terms and conditions.
Please Note - You must be registered and pay for two classes as you attend the first class to recieve this offer.
Submit
Name of Child 2 and Age
Should be Empty: