SMW Program Coordinator
Flute & Piano
Bursaries & Scholarships
Hear Us Play
This form is for
class registration for students
UNDER 4 YEARS OLD.
Musical Beginnings Registration Form
Indicates required field
Participating Parent / Guardian
Other Parent / Guardian
Our family will register more than one student (please complete & submit separate registration forms per student).
For which term are you registering?
Term 1: September to November
Term 2: January to March
Is your family NEW or RETURNING this term?
Which class will you attend?
Thursday morning (10:00-10:45 am)
Thursday evening (5:30-6:15 pm)
Age (see instructions)
Under 6 months
As of September 15 for Term 1
As of January 15 for Term 2
Date of Birth
Allergies / Medical Information
Informed Consent, Permission and Waiver of Claim
I, the undersigned parent/guardian agree that the SMW, its teachers, parent board and parent volunteers will not be held liable for any injury to the student and any accompanying individuals who attend lessons or other musical events as a result of enrolment in this program. I acknowledge that communication will be done primarily via email and agree to such under the Spam Legislation Act. The SMW will not be held liable for any loss or damage to personal property at any time. I understand that the SMW will not be responsible for the care of my child, before, during or after any scheduled SMW events.
Payment and Cancellation Policies
Fees are non-refundable.
All NSF cheques are subject to a $25.00 administration fee.
For First Term Registrations, ALL fees are non-refundable after
September 15, 2019.
For Second Term Registrations,
ALL fees are non-refundable after January 1, 2020.
I have read, understand, and I agree to abide by all of the foregoing stipulations.
Do you give
Suzuki Music Winnipeg
permission to include your child's photo/video on the Program's website, social media, newsletters, and other promotional material?
Photo / Video Consent
Yes, I give SMW permission
No, I do not give SMW permission
Your printed name will act as a signature
Where did you hear about our program?
Word of Mouth
If you selected "Other" please specify
Suzuki Music Winnipeg