*RELEASE OF CLAIM ACKNOWLEDGEMENT *

I hereby agree to indemnify and hold harmless, release and discharge the sponsoring orgnization Addison Music Learning Centre from any and all claims for personal injuries or property damage occuring to or sustained by myself and/or my child while participating in said activity including any and all consequential damage claims which I may be entitled to recover from said injury or property damage claim.

*By typing my name in this box I am agreeing to the above RELEASE OF CLAIM ACKNOWLEDGEMENT *

*PHOTO RELEASE ACKNOWLEDGEMENT *

I give permission to Addison Music Learning Centre to take photographs of my child for use on the company website and on promotional material without compensation. (Your childs name and identity will not be revealed. If you would prefer we do not photograph your child, please email info@musicisfun.ca however, it will be quite difficult to leave your child out of group pictures so we hope you don't mind :) )

*By typing my name in this box I am agreeing to the PHOTO RELEASE ACKNOWLEDGEMENT *

* Camper # 1 Name *

*Age/date of birth camper 1

Camper # 2 Name

*Age/date of birth camper 2

* Parent / Guardian # 1 Full Name *

* Street Address *

* City *

* Postal Code *

Parent / Guardian # 2 Full Name

* Best Phone Number to reach you *

* Alternate Number(s) *

* Medical conditions or allergies *

AUTHORIZATION FOR PICK UP if applicable: Name #1

Authorization # 1 Phone number

Authorization # 1 relationship to child

AUTHORIZATION # 2 FOR PICK UP: Name #2

Authorization # 2 Phone Number

Authorization # 2 relationship to child

* Please tell us how you heard about us *

* Your email address *

* We would like to add you to our newsletter list, which contains discounts, offers, info, and articles. ok with you? we won't share it! PROMISE!

YES! :)
No :(

Tuition is $330 Total (no refunds after April 15th)

* Payment made by: *

Mailing cheque with registration form
Debit (must come to studio)
E-transfer (see instructions on this page)
Cash (must come to studio)

All lunches and snacks are to be provided by each student = 1 lunch and 2 snacks per day - no peanut products please

Which camp are you registering for?

July 16-20, 2018
August 13-17, 2018

* By typing my name in this box I acknowledge & agree that once I have registered for this camp there are no refunds after April 30th