Segal Centre for Performing Arts at The Saidye

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ACADEMY OF PERFORMING ARTS COURSE REGISTRATION
Click here for full course list.

Please note all fields followed by * must be filled out.

Submitter's E-mail Address: *

STUDENT INFORMATION:

Name: *

Date of Birth: *

School Attended and Grade:

E-mail Address:

Home Phone: *

Cell Phone:

Street Address:

City:

Province:

Postal Code:

Are there any allergies, physical, learning needs or other concerns we may need to know about to ensure your best experience? *

If yes, please explain:

*

Emergency Contact Name: *

Emergency Contact Phone: *

PARENT INFORMATION (for students under age 18):

Name: *

E-mail Address:

Home Phone: *

Cell Phone:

Office Phone:

COURSE SELECTION:

Please select the course(s) you would like to take:

Course 1: *

Course 2:

Course 3:

Course 4:

TOTAL FEES - Please insert total fees here: $ *

Our staff will contact you for payment information.

Note that students 14 years and under are tax exempt.

If you are registering for a single course, please select a second choice course in case the first one is full or unavailable.

Please select 2nd choice course:

*

Please describe previous experience in the course you will be taking:

How did you hear about the Academy?

Details:

Are you interested in receiving update e-mails about future programs and events at the Segal Centre? *

Please read the following to find out about our policies:

COURSE CANCELLATION POLICY

Cancellation in writing one week prior to the first class – Full Refund.

Cancellation in writing before second class – 10% of fees withheld.

Cancellation in writing after second class – 20% of fees withheld.

Cancellation after third class – No Refund.

If a student must cancel due to medical reasons a physician’s note must be provided and a pro-rated refund or credit of equal value towards a future course at the Academy will be applied.

TERMS AND CONDITIONS

All courses have a minimum and maximum enrollment – should a course not meet enrollment, cancellation may be necessary. The Academy reserves the right to change instructors without prior notice. The Academy has a zero tolerance policy for inappropriate conduct. Any student showing a lack of respect for Segal Centre staff and property, as well as fellow students or instructors, will be dismissed from the class permanently with no refund of fees. Participants are expected to be on time. The Academy cannot assume responsibility for students before or after class time. The Academy reserves the right to videotape or photograph classes, screenings and performances to publicize the program. The Academy is not responsible for lost or stolen property.

Agree: *

Today's Date: *


	Home \| Theatre \| Academy \| Studio \| CinemaSpace and ArtLounge \| Yiddish Theatre 5170 Côte-Ste-Catherine \| Montréal, Quebec, Canada H3W 1M7 Tel. (514) 739-2301 Fax (514) 739-9340 © 2007 Segal Centre for Performing Arts at The Saidye