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JOS MUSIC CAFE REGISTRATION FORM

Music Cafe Signup Form

Kid/Teen Full Name *

Kid/Teen Full Name

Kid/Teen Age *

Home Address *

Phone Number *

Choice of Instrument *

Drums

Keyboard

Guitar

Bass Guitar

Saxophone

Violine

Others

Choice of Training Location *

On-site Training

Home Training (T&C applies)

Parent's Full Name *

Parent's Phone Number(s) *

Parent's expectations from the training. *

As a parent, would you like the training to continue after the holidays? *

Yes

No

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Redeemed People’s Mission,
Hill Station Junction,
J.D. Gomwalk Road, Jos, Plateau State.

Microphone Multimedia
8232418065
Moniepoint

No 34 Elder Adamu Street, Down Base-Ecwa Staff, Jos, Plateau State, Nigeria.

07066143818

inquiries@microphonemusicmedia.com