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More Than A Song Studios - "In Unisong" Registration
SINGING AND SONGWRITING GROUP
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* Indicates required question
Location
*
ARNPRIOR - TUESDAYS 2:30 - 3:30PM
RENFRRW - WEDNESDAYS 6:30 - 7:30PM
Other:
Required
Student Name:
*
(First and Last Name Required)
Your answer
Student Gender:
*
Female
Male
Non-Binary
Required
Date of Birth:
*
MM
/
DD
/
YYYY
Age: (as of January 1, 2022)
*
Please note that your child MUST be 9 years old on or before January 1, 2022.
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Grade: (as of September 1, 2021)
*
Your answer
Parent/Guardian Name:
*
Your answer
Email Address:
*
A majority of correspondence happens via email.
Your answer
Telephone Number:
*
(e.g. no spaces - 6135555555)
Your answer
Address
*
(Full address - including house number, street name and postal code)
Your answer
Health/Behavioral or Special Concerns:
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Phone:
*
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Alternative Authorized Pick Up Contact Name:
*
Please enter the name of people who are authorized to pick up your child from weekly sessions.
Your answer
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