HCA 2020/2021 Registration Form
An HCA Admin member will follow up with each registration to confirm receipt of form, payment method, and payment breakdown - along with next steps. Registration is ongoing as long as there is space in your class of interest. However, due to the extra steps required for registration during COVID-19, please heed the following cut-offs each week:
Saturday Class Registration Deadline: Thursdays at noon.
Monday Class Registration Deadline: Saturdays at noon.
Other Weekday Classes Registration Deadline: day before class at noon.
Please fill out a registration form for each student. Thank you!
Course Names (please ensure title matches to the schedule, with section letter if applicable). For private music classes, indicate instructor name & lesson day/time
Dance and private music lessons will have the option of in-person or online. Please indicate your preferred method of course delivery. Online dance will be discounted by 25%. Online private music rates will remain the same whether the class is held in-person or online.
Student Date of Birth
Grade Entering in School (if applicable)
Parent/Guardian Name (if applicable)
Full Address (Street, City, Postal Code)
Main Phone #
Alternate Phone #
Please list any student medical conditions/allergies/behavioural concerns
Please read HCA's "COVID-19 Health and Safety Protocols, Policies & Procedures" document:
By checking this box, I acknowledge that I have read, understood, and agree to abide by HCA's health and safety protocols outlined in "COVID-19 Health and Safety Protocols, Policies & Procedures" document.
There are times when the media runs stories of the activities we have at HCA, or we like to take photographs/video to be kept on file, and used in future promotional and/or informational brochures, posters, newsletters, web pages, and advertisements for HCA and other related publications. Do you give consent for the student to be photographed or video taped?
Payment Method (Note for adult students only: If student is enrolling in only one term, the term must be paid in full. The monthly option is not available. Note for dance students only: Costume and Ballet Exam fees are NOT included in monthly or term payments)
Monthly Post-Dated Cheques (dated for the first of each month, September 1 - June 1
Term Post-Dated Cheques (dated for September 1, March 1, June 1)
Monthly Pre-Authorized Credit Card (credit card on HCA file)
Monthly Pre-Authorized Credit Card - VISA or MC (new credit card)
Term Pre-Authorized Credit Card (credit card on HCA file)
Term Pre-Authorized Credit Card - VISA or MC (new credit card)
Pay in Full With Debit, Cash, or Credit Card
Additional Notes for Administrative Staff
If you are a new student, how did you hear about HCA?
Word of Month
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Hamilton Conservatory for the Arts.