Trial Lesson Registration

Please check which instrument(s) you would like to register for: *

Please check which format(s) you would like to register for: *

Lesson Length *

Preferred Lesson Date & Time *

Alternate Lesson Date & Time *

Your Name *

First

Last *

Last

Phone Number *

Email *

Name and Age of STUDENT *

Address (complete with Postal Code and any necessary Parking Instructions) *

In-home lesson format: are there any pets on the premises? If so, please indicate type. If not, please indicate N/A.

Relevant Medical and/or Learning Information (eg. allergies, medication, ADHD, ASD, etc. - anything that might be useful for the teacher to prepare for an optimal lesson). All information is kept confidential between admin and your teacher only.

Emergency contact information aside from adult who will be home during the lesson. Name, Cell Phone, Relationship to student. *

Musical background (if any), musical goals/requests

I would like to use the following method of payment to secure my trial lesson *

Promo Code

I understand that, once confirmed by email/text, there is no refund available and that I will need to purchase another trial lesson if I need to reschedule. *

Agree

I understand that in the case of an illness with either the teacher, the student, or their households, (or if BC government regulations change to not allowing in-home services) then the lesson will automatically be switched to a virtual lesson. *

Agree

I understand that for an in-person lesson, an adult needs to be on the premises for the duration of the lesson with a minor; for a virtual lesson, an adult also needs to be present in the same room as the student in order to help with instructions for the duration of the lesson. *

Agree

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