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Casino En Ligne Avec Croupier En Direct
Registration Form – Academy Fortissimo
in partnership with
The City of Côte Saint-Luc
5555 Westminster Ave., Suite 410 - Tel.: 514.836.6872
Family Name of Participant(s):
Address:
City:
Postal Code:
Medical/Health/Allergies:
Telephones (home):
Cell. phone:
How did you find out about the Academy?
Email address:
Please complete this section for participants under 18 years old.
Mother’s Last Name:
First Name:
Telephone:
Father’s Last Name:
First Name:
Telephone:
First Name
M/F
Date of
Medicare
Birth
#
(y/m/d)
Exp. Date
Program Name
Advance
Registration
Day/Time
Level
Fee
Deposit
($50):
Annual Registration Fee ($25):
Total
PAYMENTS CAN BE MADE BY CASH OR CHEQUES ONLY. PLEASE MAKE CHEQUES PAYABLE TO “THE MUSIC ACADEMY FORTISSIMO”.
REGISTRATION GUIDELINES: Registration takes place at our office or at the CSL Department of Parks and Recreation, 7500 Mackle rd. during standard business hours. You can also
send in your registration with a check or money-order by post mail. When filling out the registration form do not forget to include Annual Registration fee, paid once annually: $25.
PAYMENTS AND CANCELLATIONS: We accept registrations for the full academic year only. The following payment options are available. Group lessons can be paid by a maximum of 4
post-dated checks per year. Individual lessons can be paid by 6 post-dated checks per year. When registering for group or individual lessons, additional group lesson(s) are at 10% & 15%
discount. Sibling discounts apply. Individual lessons are NOT subject to discounts! Academy allows one re-scheduling of a missed instrumental lesson per session. A replacement class
must be scheduled for the make-up week, which takes place at the conclusion of each semester. Please consult our Regulations & Guidelines and Program of Classes for further
information.
www.Fortissimo.ca