Music and Culture Travel Course in Bali, Indonesia — June 3 to June 21, 2020
REGISTRATION FORM

Make your $500 bank payment to ‘Conrad Grebel University College' and complete this form. For further information, contact:

Professor Maisie Sum
Room 1102
Conrad Grebel University College
140 Westmount Road North
Waterloo, ON N2L 3G6

Email: msum@uwaterloo.ca
Name (last, first) *
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Passport Number (if known)
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I am taking the course: *
If you are taking the course for credit, in which term do you plan to enrol?
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Awards and financial aid are available to full-time students taking the course for credit. Submit a written request below, or email a written request to Professor Sum (msum@uwaterloo.ca).
Questions? Comments?
Indicate the date you completed the registration form. NOTE: The course requires a considerable amount of walking. Clicking submit indicates that you are aware of this and that, to the best of your knowledge, you are physically fit and can participate fully in the program. *
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