Nick Hamlyn Studio Sessions 2019-20
Lesson Time Length *
Instrument Choice *
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First Name *
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Middle Initial *
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Last Name *
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Student Date of Birth (Year, month, day) *
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School this Fall *
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Grade this Fall *
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Street Address *
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City *
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Province *
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Postal Code *
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MCP *
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Primary Contact/Guardian Name *
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Primary Phone *
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Primary Contact/Guardian Cell Phone *
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Email Address *
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Alternate Contact Name *
In case of emergency and the parent/guardian cannot be reached.
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Alternate Contact Phone Number *
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Does your child require accommodations in any areas. (ie. physical disabilities, learning disabilities, special needs, etc.) that you wish to confidentially disclose in order for the Graham Academy team to provide appropriate support? *
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