Please complete one registration form per student.
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Birth Date (if student is under 19)
Parent/Guardian Name (if student is under 19)
Student Name (First and Last)
Have you registered for lessons with PAMDA before?
Primary phone number
Mailing Address (Street, City, Province, Postal Code)
Do you give permission for PAMDA to use the student's name and/or picture for archival purposes and/or publicity or promotion of PAMDA events and activities?
Which type of lessons are you registering for?
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This form was created inside of Penticton Academy of Music Society.