Happy Keys Piano Camper's Registration Form

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Complete this form to register to finish registering for our 2022 Summer Break Camps!

My child is currently a student at Happy Keys Music & Piano? *

Yes

Other:

My sessions: *

Week 1 - Under the Sea: July 11 - 15

Week 1 - Bach to the Future: July 11 - 15

Week 2 - Carnival of the Animals: July 18 - 22

Week 2 - Song Writing for Teens: July 18 - 22

Required

Child's Name *

First, Last

Date of Birth *

YYYY

Gender *

Female

Male

Other:

Required

Child T-Shirt Size *

Other:

Required

Parent Name *

First, Last

Parent Phone Number *

Parent Email *

In case of emergency contact, Happy Keys Music & Piano can contact: *

Please provide their first, last name, relationship to the child, phone number (mobile & home), and email.

Who is designated to pick-up and drop-off the child at the camp? *

Please list any allergies, medications, medical conditions, or special needs we should know about your child. *

For medical information, please provide:1) medicine 2) dosage 3) frequency 4) allergies. If not applicable, please put N/A.

Every camper will need to bring the following items: light snack, water, and extra appropriate weather clothing. *

I have all items ready.

Other:

Required

Terms & Conditions *

I agree that these terms, conditions, and policies are a condition of my child’s enrolment at Happy Keys Music & Piano. I understand that my camp tuition is non-refundable and non-transferable after June 15, 2022. (Terms & Conditions - Refer to website: http://www.happykeysmusic.ca/store/c12/Summer_Break_Camps.html)

I have read, understood and agreed to the above terms and conditions.

I will provide my signature in-person on the first day of sessions.

Required

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