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2021-2022 Registration
Please complete one registration form per student.
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* Indicates required question
Email
*
Your email
Birth Date (if student is under 19)
MM
/
DD
/
YYYY
Parent/Guardian Name (if student is under 19)
Your answer
Student Name (First and Last)
*
Your answer
Have you registered for lessons with PAMDA before?
*
Yes
No
Primary phone number
*
Your answer
Mailing Address (Street, City, Province, Postal Code)
*
Your answer
Do you give permission for PAMDA to use the student's name and/or picture for archival purposes and/or publicity or promotion of PAMDA events and activities?
*
Yes
No
Which type of lessons are you registering for?
Private Lessons
Group Lessons
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