2021 HCA Adult Workshop Registration
An HCA Admin Team member will follow up with each registration to confirm receipt of form and payment method.
Course Names (with session #, if applicable)
If you are enrolling in Group Violin, do you require an instrument rental from HCA? (additional fees apply)
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:
By checking this box, I acknowledge that I have read, understood, and agree to abide by HCA's health and safety protocols outlined in "COVID-19 Health and Safety Protocols, Policies & Procedures" document.
By checking this box, I acknowledge that I have read, and understood HCA's Policies and Code of Conduct.
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)
Credit card (VISA/MC)
Additional Notes for Administrative Staff
How did you hear about HCA's adult workshops?
Word of Mouth
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Hamilton Conservatory for the Arts.