Registration - Term 4
Timing: April 8th - June 10th, 2018
Location Address: 1500 Alta Vista Drive, Ottawa Ontario, K1G 3Y9
Contact us at (613) 402-6082 or joelle@makingmusicmeaningful.com
Email address *
Name *
Your answer
Home Phone *
Your answer
Alternate Phone
Your answer
Home Address *
Your answer
Which class are you registering for? *
Required
Child's Name (First, Last) *
Your answer
Date of Birth *
MM
/
DD
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YYYY
2nd Child's Name (First, Last)
Your answer
2nd Child's Date of Birth
MM
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DD
/
YYYY
Attending Adult: Name (First, Last) *
Your answer
Attending Adult: Relation to Child(ren) *
Your answer
Phone Number (if different from above)
Your answer
Emergency Contact *
Please provide name, telephone number and relationship with the child.
Your answer
Medical Information
Please describe any medical information you feel is relevant, such as conditions or allergies.
Your answer
How did you hear about Making Music Meaningful?
Photography *
Occasionally, Making Music Meaningful may take in-class photographs for promotional purposes. In order to maintain the privacy of their clients, Making Music Meaningful will not associate full names or identifying information with these images, unless they have expressed, written permission from the parent or legal guardian. Should these images be used for promotional materials, no royalties or payments will be issued or associated with these materials. By clicking yes below, you acknowledge that you have read and understood this policy.
Required
Personal Injury and Liability *
By clicking the below, you accept and assume all risks of bodily injury to yourself and to the minor child(ren) in your care and you hereby release, discharge, covenant not to sue, and agree to indemnify, save and hold harmless Making Music Meaningful from all liability, claims, demands, losses or damages.
Required
Communications and CASL *
All program information is communicated via group e-mail using blind carbon copy to protect your privacy. Anti-spam legislation permits the sending of e-mail for two years following the end of the last term in which you were enrolled. If you would like to continue receiving e-mails beyond that time, please send me a note to opt in. If you would like to stop receiving e-mails before that time, please send me a note to opt out.
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I understand that I must pay $$ before the start of the first class. *
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