2020 PAMDA Private Lesson Registration
Email address *
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) *
Your answer
STUDENT INFORMATION
Please fill in one form per student.
Student Name (First and Last) *
Your answer
Birth Date (if student is under 19)
MM
/
DD
/
YYYY
Parent/Guardian Name (if student is under 19)
Your answer
Primary phone number *
Your answer
Mailing Address (Street, City, Province, Postal Code) *
Your answer
Are you a new student? *
PRIVATE LESSONS
Please select your instrument or discipline, teacher and lesson length in the options below.
Instrument/Discipline *
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.) *
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.
Your answer
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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