GAC Media Registration Form

GAC Media Course - Registration

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Register

Select the course or courses for which you would like to register.

Course

Participant Information

Are you registering for a person under the age of 18?

Student Name*

First Last

Parent or Guardian's Name*

Parent or Guardian's Phone Number:*

Email*

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Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you a member of the Gabriola Arts Council?*

Yes

Not sure

Would you like to renew your membership?*

Don't forget to renew so you can continue to receive our exclusive member's newsletter full of arts news and upcoming events, as well as exclusive discounts and early registration for GAC members. Thank you for supporting the arts.

Would you like to join the Gabriola Arts Council?*

Your $20 annual membership not only supports the arts but you'll receive our exclusive e-newsletter full of arts news, local events and exclusive discounts and early registration for GAC members. Plus you'll have our endless gratitude. Seems like a pretty great investment!

Would you like to contribute to our Inclusivity Campaign?

Yes, please!

No thanks.

This campaign is to allow someone to participate in the workshops, who might not otherwise be able to due to financial constraints.

Donation amount to the Inclusivity Campaign:

Payment

payment type

cash

cheque

e-transfer

Square (debit or credit)

Notes:

Total Payment Due:

Note: If you would like to arrange payment via cash or cheque, please contact us to register: email info@artsgabriola.ca or call the office at 250 247 7409 GAC business hours are 10am-4pm Monday through Friday.

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GAC Media Registration Form

GAC Media Course - Registration

Register

Participant Information

Payment

become a member

support the arts

Gabriola Arts Council

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