2021 HCA Adult Workshop Registration
An HCA Admin Team member will follow up with each registration to confirm receipt of form and payment method.
* Required
Email address
*
Your email
Student Name
*
Your answer
*
New Student
Returning Student
Course Names (with session #, if applicable)
*
Your answer
If you are enrolling in Group Violin, do you require an instrument rental from HCA? (additional fees apply)
Yes
No
Clear selection
Student Date of Birth
Your answer
Full Address (Street, City, Postal Code)
Your answer
Main Phone #
*
Your answer
Alternate Phone #
Your answer
Please list any medical conditions/concerns of which you would like HCA to be aware.
Your answer
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
*
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.
Required
https://www.hcarts.ca/wp-content/uploads/2021/02/POLICIES-CODE-OF-CONDUCT-Adult-Workshops.pdf
*
By checking this box, I acknowledge that I have read, and understood HCA's Policies and Code of Conduct.
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?
*
Yes
No
Payment Method (please note registration is not complete until payment is received)
*
Credit card (VISA/MC)
Cash
Debit
Cheque
Additional Notes for Administrative Staff
Your answer
How did you hear about HCA's adult workshops?
Word of Mouth
Web Search
Social Media
Email Marketing
Other:
Clear selection
A copy of your responses will be emailed to the address you provided.
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