Canadian Bureau for the Advancement of Music (CBAM)
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
GRADE
If YES, specify:
Address
City
Province
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.