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Registration Form – A cademy Fortissimo
in partnership with
T he C ity of C ôte S aint-Luc
5555 W estminster A ve., S uite 410 - T el.: 514.836.6872
F amily N ame of Participant(s):
A ddress:
C ity:
Postal C ode:
M edical / H ealth / A llergies:
T elephones (home):
C ell. phone:
H ow did you find out about the A cademy?
E mail address:
Please complete this section for participants under 18 years old.
M other’s L ast N ame:
F irst N ame:
T elephone:
F ather’s L ast N ame:
F irst N ame:
T elephone:
F irst N ame
M/F
D ate of
Medicare
B irth
#
(y / m / d)
E xp. D ate
Program N ame
A dvance
Registration
D ay / T ime
Level
F ee
D eposit
($50):
A nnual Registration Fee ($25):
Total
PAYMENTS CAN BE MADE BY CASH OR CHEQUES ONLY. PLEASE MAKE CHEQUES PAYABLE TO “THE MUSIC ACADEMY FORTISSIMO”.
REGISTRATION GUIDELINES: Registration takes place at our office or at the CSL Department of Parks and Recreation, 7500 Mackle rd. during standard business hours. You can also
send in your registration with a check or money-order by post mail. When filling out the registration form do not forget to include Annual Registration fee, paid once annually: $25.
PAYMENTS AND CANCELLATIONS: We accept registrations for the full academic year only. The following payment options are available. Group lessons can be paid by a maximum of 4
post-dated checks per year. Individual lessons can be paid by 6 post-dated checks per year. When registering for group or individual lessons, additional group lesson(s) are at 10% & 15%
discount. Sibling discounts apply. Individual lessons are NOT subject to discounts! Academy allows one re-scheduling of a missed instrumental lesson per session. A replacement class
must be scheduled for the make-up week, which takes place at the conclusion of each semester. Please consult our Regulations & Guidelines and Program of Classes for further
information.
www.Fortissimo.ca