Workshop Registration Form

 

 

CONTACT INFORMATION

 

Student’s Name ______________________________________________ Age ___________

 

Parent’s or Guardian’s name(s) __________________________________________________________

 

Address ________________________________________________ Postal Code _________________

 

Home phone number ____________________________________                                  

 

Cell phone number _____________________________________

 

Work phone number _______________________________________

 

E-mail address (if applicable) ____________________________________

 

How did you hear about us? ____________________________________________________________

 

Which workshop(s) are you interested in? (Please check all that apply)

o  Metal  (6 sessions, cost is $300.00)

o  Blues  (4 sessions, cost is $200.00)

o  Jazz   (4 sessions, cost is $200.00)

 

These workshops are not for absolute beginners. A working knowledge of open chords, barre chords and power chords is needed. Each session is 2 hours long. Electric guitar and practice amp required for Metal Workshop, electric guitar and amp or acoustic guitar for Blues and Jazz Workshop.

 

Please complete this form and return to D.F.G.I. with payment, via mail or in person at: 

                                           68 Wellington St. Unit #3 Port Hope ON. L1A 4H7.

                               Payment options include: cash, cheque, debit, visa or mastercard

• Money will be refunded, only if there is 2 weeks notice of cancellation before the workshop start date.

• No refunds will be issued for missed lessons. There will be an additional $20.00 fee added to all NSF cheques.

 

 

 

I have read, understand and agree to the contents of this form.

 

 

Signature of parent, guardian or student _____________________________

 

Date_________________