2021 HCA Adult Workshop Registration
An HCA Admin Team member will follow up with each registration to confirm receipt of form and payment method.
Email address *
Student Name *
*
Course Names (with session #, if applicable) *
If you are enrolling in Group Violin, do you require an instrument rental from HCA? (additional fees apply)
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Student Date of Birth
Full Address (Street, City, Postal Code)
Main Phone # *
Alternate Phone #
Please list any medical conditions/concerns of which you would like HCA to be aware.
Please read HCA's "COVID-19 Health and Safety Protocols, Policies & Procedures" document: https://www.hcarts.ca/wp-content/uploads/2020/08/Health-and-Safety-2020-_COVID19-_Oct20update.pdf *
Required
Required
There are times when the media runs stories of the activities we have at HCA, or we take photographs/video to be kept on file, and used in future promotional and/or informational brochures, posters, newsletters, web pages, and advertisements for HCA and other related publications. Do you consent to being photographed or video taped for these express purposes? *
Payment Method (please note registration is not complete until payment is received) *
Additional Notes for Administrative Staff
How did you hear about HCA's adult workshops?
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A copy of your responses will be emailed to the address you provided.
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