Registration Form

Camper informations
Your name*
First name Last name
Email*
Phone 1*
Phone 2
Mailing address*
Address City State / Province ZIP / Postal code Country
Your age*
This information will remain private!
Please enter a number less than or equal to 200.
Gender*
- Male
- Female
Are you vegetarian*
- Yes
- No
Instrument*
Select your primary instrument or tell us if you are accompanying somebody. NOTE: An accompanying person may not participate in music classes.
Level*
Consult the classes descriptions if you're not sure about your level.

Parent informations
Name of accompanying adult*
Name of one parent*
Parental comments
Please note that participant under 14 years old MUST be accompanied by an adult. For parents who will not be present, do you have any comments or observations to share regarding your child?

Special requests
Your notes...
Violon trad Québec will allocate the rooms taking into account the family link, the sex and the age of the participants. He will do his best to accommodate your requests however he can not commit himself to answer them.
Payment method*
Please tell us how you will pay.
- Online
- By cheque
Musician inscription
Price:
Accompanying inscription
Price:
- Espace-temps cottage reservation
- Piano reservation
Donation
Inscription
Total
$ 0.00 CAD
Mailing list
- I authorize Violon Trad Québec to add my email to the camp mailing list in order to better communicate with me. I understand that I can manage my subscription at all times.
Festival mémoire et racine
Do you intend to participate as a musician in the Festival Mémoire et Racines
- Yes
- No
- Maybe
Terms and conditions
I authorize Violon Trad Québec to use my images and recordings exclusively for promotional or research purposes.
Agreement*
- I have read and accept the terms and conditions for my participation at Camp Violon Trad Québec. I understand that all information I have provided will be treated as confidential by the camp.
Anti-spam
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Camper informations