Registration - Term 5 (6 weeks)
Dates: Sundays, July 8 to Aug 19, 2018 (no class on Aug 5)
Location: 1500 Alta Vista Drive - Ottawa Regional Cancer Foundation
Contact us at (613) 402-6082 or joelle@makingmusicmeaningful.com
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Email *
Name *
Home Phone *
Alternate Phone
Home Address *
Which class are you registering for? *
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Child's Name (First, Last) *
Date of Birth *
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2nd Child's Name (First, Last)
2nd Child's Date of Birth
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Attending Adult: Name (First, Last) *
Attending Adult: Relation to Child(ren) *
Phone Number (if different from above)
Emergency Contact *
Please provide name, telephone number and relationship with the child.
Medical Information
Please describe any medical information you feel is relevant, such as conditions or allergies.
How did you hear about Making Music Meaningful?
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If you said it was word of mouth, who referred you?
Photography *
Occasionally, Making Music Meaningful may take in-class photographs for promotional purposes. In order to maintain the privacy of their clients, Making Music Meaningful will not associate full names or identifying information with these images, unless they have expressed, written permission from the parent or legal guardian. Should these images be used for promotional materials, no royalties or payments will be issued or associated with these materials. By clicking yes below, you acknowledge that you have read and understood this policy.
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Personal Injury and Liability *
By clicking the below, you accept and assume all risks of bodily injury to yourself and to the minor child(ren) in your care and you hereby release, discharge, covenant not to sue, and agree to indemnify, save and hold harmless Making Music Meaningful from all liability, claims, demands, losses or damages.
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Communications and CASL *
All program information is communicated via group e-mail using blind carbon copy to protect your privacy. Anti-spam legislation permits the sending of e-mail for two years following the end of the last term in which you were enrolled. If you would like to continue receiving e-mails beyond that time, please send me a note to opt in. If you would like to stop receiving e-mails before that time, please send me a note to opt out.
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I understand that I must pay $$ before the start of the first class. *
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