Summer Programs Registration FormYour Name(Required) First Last Student's First and Last Name (if different from you): First Last Summer Program Choice(Required)Select Summer ProgramViolin Jam Camp: A night at the operaSummer Chamber MusicHello ViolinHummingbirds Sing and PlayGuitar Lesson Package for BeginnersViolin Lesson Package for BeginnersRCM Theory 1-5 intensive courseRCM Theory 1-8 intensive courseChamber Music Dates(Required)Select Program DateSession 1 AM: Jul 14-18, M-F, 10-11:45am , Age 6-9, Suzuki Book 2-3/RCM 3-4Session 1 PM: Jul 14-18, M-F, 1-2:45pm, Age 10+, Suzuki Book 4+/RCM 5+Session 2 AM: Aug 18-22, M-F, 10-11:45am, Age 10+, Suzuki Book 4+/RCM 5+Session 2 PM: Aug 18-22, M-F, 1-2:45pm, Age 6-9, Suzuki Book 2-3/RCM 3-4Instrument Selection(Required)Choose InstrumentViolinViolaCelloPianoPreferred Start Date(Required) MM slash DD slash YYYY Student's Date of Birth ( month and year )(Required)Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Special circumstances, allergies, or medical conditions we should know about:How did you hear about us?(Required)FriendGoogle AdInternet Search EnginePoster/FlyerWalked/Drove ByNextdoor AppInstagramOtherPhoto Consent By checking this box, I give my consent to AMA to use photos/videos taken during lessons for promotional purposes only, with no names attached.NameThis field is for validation purposes and should be left unchanged.