Please complete this form and mail it with full

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Please complete this form and mail it with full Powered By Docstoc
					Please complete this form and mail it with full payment for the term. Enrollment is limited and classes
will be filled in order of application receipt.

Tuition: $215 per term
Ceili Class: $40 per term
Boston College/Harvard University students: $110 per term

Mail to: CCÉ Music School, P .O. Box 823, Westwood, MA 02090

Amount enclosed: $

Student Name:

Age (if under 18):

Address:



State:                   Zipcode:

Home Phone: (        )              -                    Work Phone: (    )        -

E-mail:

Instrument:

                 Beginner:              Adv. Beginner:        Intermediate:   Advanced:

Please indicate any musical background, e.g., previous experience playing an instrument, ability to
learn by ear, knowledge of Irish music/dance, etc. This will help us to place you in the right class.




                (Note: Instructors will evaluate student competency for best placement level.)

How did you hear about the school?



   The CCÉ Boston Music School is a non-profit organization sponsored by The Hanafin-Cooley Branch of
   Comhaltas Ceoltóirí Éireann, The Boston College Irish Studies Program & The Harvard University Celtic
                                               Department.