Group Program Registration Form

Please ensure you contact the group instructor(s) or info@mykcms.ca to confirm placement before completing a registration form.

Student Info

New or Returning

New

Returning

Student Type

Adult

Child

How many total students are you registering?

Student Full Name

Student DOB

If student is under 19, please enter student's birthdate

Which group program(s) are you registering for?

LadyBirds Sinfonia Adult Orchestra

String Ensembles

Introduction to Violin

Theory

Select all that apply for Student 1.

Please contact the group instructor to confirm placement before submitting a registration form.

Contact Information

Email

Phone

Emergency Contact Name & Relationship

Emergency Contact Email

Emergency Contact Phone Number

Medical condition(s) of concern?

Yes

No

Additional Information & Permissions

I would like to be a KCMS Society Member ($10 fee)

I want to volunteer with KCMS

Do you want to receive the KCMS Newsletter by Email? (Leave unchecked if you are already subscribed or don't wish to subscribe)

Photo Permissions

Yes: I give permission to the Kelowna Community Music School to use this student’s image in KCMS music related advertising, social media and newsletters

No: I do not wish to have my photo taken or published by the Kelowna Community Music School.

Additional Comments

Optional

I have read and agree to the KCMS Policies as stated in the Policy Document

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign to indicate your acceptance of the KCMS policies and to confirm the information on the registration form is correct.

When your registration form has been processed, you will sent an invoice.

Please ensure you contact the group instructor(s) or info@mykcms.ca to confirm placement before submitting a registration form.