Early Childhood Music or Choir Registration Form

For further details on registration policy click here.

Child's Information
First Name:
Family Name:
Gender:	Male Female
Address:
City:
Postal Code:
Age:
Date of Birth (mm/dd/yyyy):
Parent/Guardian Information
First & Last Name:
Home Phone:
Cell Phone:
Email:
2nd Parent/Guardian
First & Last Name:
Home Phone:
Email:
If a grandparent or nanny is bringing your child to class, please provide this information in this text box below (ie. name, relationship to child, phone #, email address):
Class Request
1st Choice Class Request (Please indicate class and time in text window): (Link to Class Schedule)
2nd Choice Class Request (if space is not available in 1st choice):
(Note: We will contact you about space availability in the class you've requested as soon as possible.)
Has your child been enrolled in Open Door Music before?
How did you hear about us?	Yellow pages Hamilton Culture & Recreation Guide Friend Google Search Other
Special Needs/Concerns/Comments:
Photo Permission - I give permission for photos to be taken of my child in Open Door Music programs for promotional purposes:	Yes No
Please see the Open Door Music Registration policy for further information. Please submit this registration request, and return to this page if enrolling a 2nd child.