Canadian Bureau for the Advancement of Music (CBAM)
22372 Talbot Line, Rodney, Ontario, N0L 2C0, www.cbammusic.com
ANNUAL CBAM STUDENT REGISTRATION FORM
 
CBAM’s liability insurance policy requires this form to be filled out and signed prior to attending classes.

FIRST NAME

LAST NAME

YEAR OF BIRTH

Allergies?

GRADE

If YES, specify:

Address

City

Province

Email

Home Phone

Postal Code

At Home

Emergency Phone

 
SCHOOL BOARD AND ELEMENTARY SCHOOL WHERE YOUR CHILD ATTENDS CBAM CLASSES:

School Board

Elementary School

Indicate which school your child attends if different than the one above

I hereby release the Canadian Bureau for the Advancement of Music (CBAM), the CBAM piano teacher and the CBAM Board of Directors and Officers from all claims or damages arising from any accident or injury which is caused by or arises from participation of the applicant named hereon in the piano classes, examinations or recitals operated by the aforementioned. Safety of all CBAM students is imperative. CBAM teachers can only ensure proper supervision and safety of students during the scheduled one hour class. Failure, by parent or guardian, to pick up student from class on time will result in a LATE PENALTY FEE ($30.00) and/or removal from CBAM program without refund of remaining lessons in term.

©2020 by Canadian Bureau for the Advancement of Music. Proudly created with Wix.com