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YORUBA CULTURAL ASSOCIATION OF EDMONTON
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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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