Drama & Art Classes - Group Class Sign-Up Form
Let's get creative! Whether you are a retuning student or joining us for the first time, we ask that you please take a moment to fill out this registration form so that we have your most up-to-date information on file. Please note that our terms and conditions have changed. For the full Terms and Conditions, COVID-19 Safety Policy, and Class Rates visit www.smithsfallsmusic.com
Sign in to Google to save your progress. Learn more
Email *
First (given) name of Student: *
Last (family) name of Student: *
Please select the class you are registering for: *
Required
Birth date of student *
MM
/
DD
/
YYYY
Name(s) of parent/guardian(s) if student is under age of 18
Phone number: *
Address *
Name of Emergency Contact *
Relationship to student of Emergency Contact *
Phone Number of Emergency Contact *
Are you a returning student? *
Are you able to attend classes online if the regulations for in-person lessons becomes restricted?
Clear selection
Please list any allergies, disabilities, or medical conditions that Smiths Falls Music should be aware of (affecting the student)
TERMS & CONDITIONS
Please read through the full Term & Conditions and COVID-19 Safety Policy available on our website at www.smithsfallsmusic.com
PAYMENT: GROUP CLASSES are paid for in blocks of between 6 and 12 classes, by online invoice (credit card / debit / e-transfer)  or in-person at the first class. Please see website for rates. By checking the "I Agree" box you agree to and understand the terms of payment. *
Required
CANCELLATION: GROUP CLASSES: No refunds or make-up lessons will be available for any missed group lessons. Your instructor may offer an online option in the event that in-person teaching becomes restricted, or if a student has to quarantine. By checking the "I Agree" box you agree to and understand the terms of cancellation. *
Required
COVID 19 SAFETY POLICY: We require that all persons entering our studio adhere to our Covid 19 safety policies for in-person lessons, which are subject to change based on the current guidelines set forth by LGL Public Health. By checking the "I Agree" box you agree to follow the terms of our most current Covid 19 safety policy (full policy available on website www.smithsfallsmusic.com). *
Required
STUDENT QUESTIONNAIRE
This student questionnaire is optional and is designed to help us pair you with and instructor or program to best suit your playing level, interests, etc.
How would you describe your experience level heading into this class (select whichever best applies)
What are some of the topics that most interest you? (Select all that apply)
Tell us about some of the creative experiences you've had so far (eg: other classes you've taken, camp programs, school plays, hobbies, etc.) or any other relevant information.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms