Write, Play, Perform — Kids Edition (Ages 6

Write, Play, Perform — Kids Edition (Ages 6–12)

Registration + Payment Form
📅 Dates: April 9 – May 14, 2026
🕓 Time: Thursdays, 3:00–4:15 PM
📍 Location: Laurier Baptist Church — 8505 142 St NW, Edmonton

Please complete this form to secure your child’s spot.

If you are registering siblings for different Write, Play, Perform workshops this spring, you may use this same form and select the appropriate registration options below.
- The first student is $240.
- Additional students registering together are $210 each (up to 3 additional students).
- Fill in the information for each participant as prompted based on the number of students you are registering.
- Payment is collected securely at the end of the form to confirm registration.
*Please note: each workshop requires a minimum of 4 students. If the minimum is not met, you’ll receive a full refund.
Parent / Guardian Information:
Parent Name*

First NameLast Name
Parent Email Address*
example@example.com
Parent Phone Number
Optional: we may use this for urgent updates or changes.Format: (000) 000-0000.
Student Information:
Student Name*

First NameLast Name
Student Age*
Does the student play an instrument?
All levels and all instruments (or no instrument at all!) are perfectly okay.

Student Name

First NameLast Name
Student Age
Workshop Selection (for this child):
Does the student play an instrument?
All levels and all instruments (or no instrument at all!) are perfectly okay.

Student Name

First NameLast Name
Student Age
Workshop Selection (for this child):
Does the student play an instrument?
All levels and all instruments (or no instrument at all!) are perfectly okay.

Student Name

First NameLast Name
Student Age
Workshop Selection (for this child):
Does the student play an instrument?
All levels and all instruments (or no instrument at all!) are perfectly okay.

Payment & Confirmation

Write, Play, Perform – Primary Registration

Kids Edition: Ages 6-12

$240CAD Quantity

Write, Play, Perform – Sibling Registration (up to three)

$210CAD Quantity
Item subtotal:$0.00CAD

Total

$0.00CAD

Write, Play, Perform — Kids Edition (Ages 6–12)