2020 PAMDA Private Lesson Registration
Have you scheduled your lessons with your instructor? (Registrations cannot be processed until lessons have been scheduled or arrangements made with the office.)
What is the DAY OF THE WEEK and TIME of your weekly lesson? (e.g., Monday 1:30 pm)
Please fill in one form per student.
Student Name (First and Last)
Birth Date (if student is under 19)
Parent/Guardian Name (if student is under 19)
Primary phone number
Mailing Address (Street, City, Province, Postal Code)
Are you a new student?
Please select your instrument or discipline, teacher and lesson length in the options below.
Speech Arts & Drama
Instructor for Instrument/Discipline
Which term are you registering for? (Note: Registration fees are charged each time you register, so you'll save money if you register now for the rest of the year.)
Rest of the Academic year (current date to June 12, 2020)
Winter Term 10 weeks (January 6 to March 13, 2020)
Spring Term 11 weeks (March 30 to June 12, 2020)
One month (4 lessons)
Length of Lesson for Instrument/Discipline
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?
Questions or Comments.
Thank you for your registration. An invoice will be emailed to you within the next two weeks, which will be payable on receipt by either cash, cheque or e-transfer.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Penticton Academy of Music Society.