YORUBA CULTURAL ASSOCIATION OF EDMONTON

YORUBA LANGUAGE CLASS REGISTRATION FORM

A. STUDENT’S INFORMATION:
STUDENT’S NAME

First

Last

ADDRESS

Street

City

Province

PostCode

Phone

Cell

Date of Birth

Country of Birth

B. IF STUDENT IS BELOW 18 YEARS OF AGE:
PARENT/GUARDIAN INFORMATION
PARENT’S NAME:

First

Last

ADDRESS

Street

City

Province

PostCode

Parent’s Membership #

C. IF STUDENT IS ABOVE 18 YEARS OF AGE:

MEMBERSHIP #

D. APPLICABLE FEES. Please see the website for information about fees.

E. DECLARATION

I, agree to abide by all the rules and regulations laid down by the Association to ensure the smooth running of my class. I agree that at no time will I cause any form of distraction in class.

STUDENT’S SIGNATURE
PARENT’S SIGNATURE
DATE: (mm/dd/yyyy)

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