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Summer Camp Registration


GENERAL INFORMATION

Singer’s First Name Last Name
Birth Date
(dd/mm/yy)
Age at
September 1,
Address City | Province
Postal Code Home Tel.
School in Fall Program Grade
(if Applicable)


PARENT INFORMATION

Mother's First Name Last Name
Address
Postal Code City | Province
Home Tel. Cell Tel.
E-mail Bus Tel.
       
Father's First Name Last Name
Address
Postal Code City | Province
Home Tel. Cell Tel.
E-mail Bus Tel.


SINGER INFORMATION
Private music instruction information (if applicable)

Instruments studied    
Teacher(s) Level/Grade/Book
Kodály Classes Yes No Kodály Teachers
       
Health Concerns?    
Health Care Number
(In case of emergency)
   



BEFORE AND AFTER CARE



Before and after care will be offered from 8:00-9:00 a.m. and 4:00-5:00 p.m. for an additional cost of $10 per hour.
Please note that there will be no before and after care on Saturday, August 16. You may pay by cheque ahead
of time or at the end of the Summer Program.

I require before care for days I require after care for days

Card If paying by cheque.
Please print out this form and mail it in with your payment.
Card Number
No Spaces
Expiration Date
(mm/yy)
Name on Card
     

To mail in your application with payment, enclose your cheque
along with this form and mail it to:

Calgary Girls Choir
203, 6628 Crowchild Trail SW
Calgary, AB T3E 5R8



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