Registration Form: Build Your Own Indigenous Flute (August)
Please complete the following registration form to sign up for one of our August At Home Music Kits!

If you are registering more than one child, please complete ONE FORM PER CHILD.
PARTICIPANT INFORMATION
First Name *
Last Name *
Birth Date: *
MM
/
DD
/
YYYY
PARENT / GUARDIAN INFORMATION
First Name: *
Last Name: *
Phone Number: *
Email Address: *
BUILD YOUR OWN INDIGENOUS FLUTE KIT
Pick Up Date Requested (190 Lester St, Waterloo): *
My child is interested in joining the online group meeting at the end of August to share their creation! *
ADDITIONAL AT HOME MUSIC KITS
If you have other children who are not registered for lessons, but are interested in a Build Your Own Indigenous Flute Kit, please indicate below. We will be in touch to confirm availability.
Please list full names and ages of children interested in additional kits:
Parent / Guardian Signature: *
Date: *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Community Music School of Waterloo Region. Report Abuse