Saskatchewan Band Association - Summer Band Camp

 

Computer Print Registration Form 2008

 

COMPLETE THIS FORM ON YOUR COMPUTER

THEN PRINT IT OUT TO SEND IN WITH PAYMENT

 

ONE FORM PER REGISTRANT

Registration Information

IF ADDITIONAL REGISTRATION AT $10 REDUCED FEE:

NAME OF FIRST REGISTRANT:

STUDENT'S FIRST NAME:

LAST NAME:

ADDRESS:

CITY: PROV:

POSTAL CODE: TELEPHONE:

All correspondence will be via email unless otherwise requested.

PLEASE PROVIDE AN EMAIL ADDRESS THAT YOU CHECK REGULARLY.

MAIN EMAIL ADDRESS:

BIRTHDATE: (Day): (Month): (Year):   AGE: GRADE COMPLETED:

INSTRUMENT:

SCHOOL:

BAND DIRECTOR:

Health Information

Health Card #:

Parent/ Legal guardian name:

Parent/ Legal guardian Contact Phone:

 

Please list any allergies, special medical conditions or special needs (Attach additional sheet if necessary): Students must be able to self-medicate.

Staff are not allowed to dispense medication.

Dorming Students Only

Room-mate Request if dorming: (Name of Student) -

Special Food Requirements:

Consent and Release

A high standard of conduct will be expected from participants at all times. Every care and attention will be given to the well-being of students. All students will be under supervision during the hours of the camp. Any unsuitable behavior will be dealt with immediately, and the violators will be sent home with no refund of registration.  I agree that photographs, recordings, and videotapes will be made of students at all SBA camps, and these may be used for promotional purposes.This registration has my consent and approval. I understand that registration is not complete until all fees are paid to the Saskatchewan Band Association.

By submitting this form you agree to the above consent and release.

PRIVACY POLICY

The personal information that you provide is being collected under authority of the Canadian Personal Information Protection and Electronic Documents Act . It is used for student registration purposes only and will not be shared with any other agency.

 

PRINT THIS PAGE FROM YOUR BROWSER AND MAIL YOUR REGISTRATION AND PAYMENT PAYABLE TO:

 

Saskatchewan Band Association

34 Sunset Drive North

Yorkton, SK S3N 3K9