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27Conservatory of Performing Arts How did you hear about the Conservatory? ___________________ Male
 

Summary: 27Conservatory of Performing Arts
How did you hear about the Conservatory? ___________________ Male:
Female:
Date of Birth:______/_______/________
DD MM YY
Student Last name: First Name:
Address: City/Town:
Postal Code: Home Phone: Work/Cell phone:
E-mail address: School: Grade:
If the Student is under 18 years, please provide guardian information:
Last Name: First Name: Date of Birth:
(if different from above)
Address: City/Town:
Postal Code: Home phone: Work/Cell phone:
If you are interested in taking Individual Music lessons, fill-in the top half of this form and return to the Conservatory
Indicate area of your musical interest: The department head will contact you with further information.
GROUP INSTRUCTION
Group Fee(s) $ ________
Registration Fee $ 10.00
Total amount due$ ________

  

Source: Argerami, Martin - Department of Mathematics and Statistics, University of Regina

 

Collections: Mathematics