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CSM Group Program Registration Form
You can also book group classes using your Wellnessliving account by
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Please use this form to register for Group Music Programs at Chinook School of Music.
Please submit a form for one member of your family at a time. You may register for multiple programs on the same form for the same individual.
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* Indicates required question
Parent/Guardian/Account Holder Name
*
Your answer
Email address
*
Your answer
Student Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Does this student have any special needs, allergies or items that you would like us and our teachers to be aware of? Please write NO if not applicable to you.
Please note: once registered into a program at CSM you may asked to fill out a questionnaire via Wellnessliving before your classes start. This will be sent to you via email or can be accessed via the Forms section on your Wellnessliving profile at any time.
*
Your answer
Are you a current student/client at CSM with a Wellnessliving account?
*
Yes
No
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