Expression of Interest in a "Design and Print a Music Album Cover" workshop in the National Print Museum and NCAD.

Interested participant (12-18 yrs) details

If you are INTERESTED in attending a "Print a Music Album Cover" workshop (5 mornings) in the National Print Museum and the National College of Art and Design (NCAD) costing €100 please fill in your details. We will contact you again once dates are confirmed.

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* 1. Student Details

Name:

Address:

Address 2:

Town:

County:

Date of Birth:

Age:

School Name:

Current Academic year in School:

Medical conditions/allergies we should be aware of:

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* 2. Please let us know what dates would suit you to attend the "Design and Print an Album Cover" workshop. Tick all dates that suit.

Monday 17-Friday 21st July

Monday 24-Friday 28th July

Monday 31st July- Friday 4th August

Monday 7th August- Friday 11th August

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* 3. Parent / Guardian Details:

Name:

Address:

Address 2:

Town:

County:

Email Address:

Phone Number:

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* 4. Emergency Contact Details

Name:

Phone:

Relationship to student:

Second Contact Name:

Phone:

Relationship to student: