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New student please register here:
Name
*
First
Last
Gender
*
Male
Female
Birth Year
*
Home Phone Number
*
-
-
Home Address
*
City
*
Postal Code
*
Parent/Guardian Name
*
First
Last
Cellphone Number
*
-
-
Contact Email
*
How do you know us?
*
Internet Search
Newspaper Advertisement
Friend/Relative Referral
Flyer
Location selected
*
Markham
Unionville
Preferred Time of Lesson
*
9am to 12pm (Sunday & Saturday only)
12pm to 3pm (Sunday & Saturday only)
3pm to 5pm (Weekdays)
5pm to 7pm (Weekdays)
Type of Lesson Attended
*
Piano
Violin/Viola/Cello
Guitar (Classical)
Guitar (Popular)
Woodwinds
Drum
Theory
Adult Music Club
Preferred Day of Lesson
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Special Requests (if any):
*
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