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Registration Form

Western Academy of Pipe Music

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You can print this form for the 2005 summer school and mail it with your cheque. You will be sent more detailed information when we have received your form.
 
Please note: the drumming school finishes on July 2. 
 
We have made every effort to keep our prices affordable because we want to see you there!

Western Academy of Pipe Music

 

SUMMER SCHOOL June 29 – July 3, 2005

 

PIPER AND DRUMMER REGISTRATION

Early registration is encouraged

 

Name______________________________________

 

Address____________________________________

            

             _____________________________________

 

Phone______________________________________

 

Email______________________________________

 

Age (if under 19)___  Piper or drummer? ___________

 

Piper: Boarder (full tuition, room and meals)

                           $575 (USD$475)                  ___________                 

 

            Day Student (full tuition and lunches)

                           $380 (USD$316)                  ___________

                  

 Drummer: Boarder(full tuition, room and meals)

                            $435 (USD$362)                 ___________

                   

                    Day Student (full tuition and lunches)

                             $285 (USD$237)                ___________

 

Total enclosed                                               ___________

**please note that the drumming school finishes on July 2**

 

 

Please send payment to Western Academy of Pipe Music, with completed form,

to the secretary Cecily Grant

                            4165 Hillbank Road

                            Duncan BC V9L 6M1 Canada

WAIVER

I hereby, for myself, my heirs, executors and assignees waive and release any and all rights and claims I may have for damages against the Western Academy of Pipe Music, its instructors, agents or representatives for any injuries which may be suffered by me during the summer school.

 

Signature (Parent, if under 19)__________________________

See you at the school!