Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parent's Name *FirstLastPhone Number *Email * An Other Authorized Names and Ages of Child / Children *Choose Classes *Piano,Adonia: ThursdaysGuitar, Tycen: WednesdaysDrums, Mark: WednesdaysMarie, Piano: WednesdaysMarie, Violin: WednesdaysMarie, Ukulele: WednesdaysMarie, Voice: WednesdaysMarie, Preschool Music: WednesdaysMarie, Music Theory: WednesdaysEmergency Contact Name and Phone Number *List All Allergies, Medical Concerns or Other Concerns *List ALL People Authorized For Pick-Up *Can Your Child Walk Home Without An Adult? *YesNoSubmit *Registration will only be accepted when full payment has been received.* Please send eTransfer (include Parent’s Name) to info@destinyarts.ca For Credit Card Payment Click Here
