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APPLICATION FORM

VOICES ROCK CANADA (CHILDREN GRADES 3-12)

STEP 1. FILL OUT THE APPLICATION FORM

Note: For parents registering more than one child, discounts apply. Contact administrator at: [email protected]

Full Name Of Child*

Email*

Address*

Birth Date*

Parent Contact Information*

School Currently Attending*

Grade*

Do you or your child play an instrument or have a special talent besides singing? We’d love to hear about it!*

Location*

Are there any medical conditions, medications or learning styles that you would like us to know about?*

How did you hear about Voices Rock Canada?*

STEP 2. MAKE PAYMENT

$750 using Interac ([email protected]) or Cheque (Voices Rock Canada) or Cash

or using PayPal