Cello Cello teacher TBA Student Full Legal Name (first name, last name) Student Usual name(ex: english name, preferred first name) Student's email Student Phone number Birthday Parent/Guardian Name Parent/Guardian Email Parent-Guardian Phone number Primary Instrument ---PianoVoiceGlee leagueFluteViolinViolaChamber MusicCelloGuitarUkuleleClarinetSaxophoneTrumpetHarpTromboneOboeFrench HornPercussionTheoryOther (Specify in Comments section)FifeFife ChoirFlute Ensemble Class length ---1/2 hour class3/4 hour class1 hour classOther (20 minutes for ECE or younger1 hour for Glee League en ensembles (please note on comment box) Second Instrument (if applicable)---PianoVoiceGlee leagueFluteViolinViolaChamber MusicCelloGuitarUkuleleClarinetSaxophoneTrumpetHarpTromboneOboeFrench HornPercussionTheoryOther (Specify in Comments section)FifeFife ChoirFlute Ensembles Class length ---1/2 hour class3/4 hour class1 hour classOther (20 minutes for ECE or younger1 hour for Glee League en ensembles (please note on comment box) 3rd Instrument (if applicable)---PianoVoiceGlee leagueFluteViolinViolaChamber MusicCelloGuitarUkuleleClarinetSaxophoneTrumpetHarpTromboneOboeFrench HornPercussionTheoryOther (Specify in Comments section)FifeFife ChoirFlute Ensembles Class length ---1/2 hour class3/4 hour class1 hour classOther (20 minutes for ECE or younger1 hour for Glee League or ensembles (please note on comment box) Student current level ---Beginner (0-2 years)Intermediate (3-6 years)Advanced (7+ years) Preferred Lesson Venue ---In-Person/On-Site onlyOnline OnlyMix off of Online and In-Person (Teachers will try to accommodate preferences as much as possible) Sibling Registered at Maggie Music? YesNo Please fill a registration form for every kids, thank you I choose to participate to the Greater Victoria Performance Arts Festival GVPAF Opt inOpt out Student Image consent form no banban on internet publications onlyban on all internet and promotional material How did you hear about us? ---FriendTeacherFacebookChatterblockInstagramNewspaper/addsOther Method of payment ---E-transferCheque from Canadian BankCashier chequeInternational Wire Transfer($5 flat fee per transfer) I would like to pay as ---Single payment(Mandatory for All 1st year registrants)Two payments. fees: $10 (Available only for full year tuition not available for partial year, special programs or courses or 1st year students. Sorry) I understand that installment fees ($10) are due even if I send payment in one cheque after receiving my invoice. Comments I hereby certify that I have read and agreed to all terms and conditions of this program and that I have read and undersign "the fine prints" Please sign with your full name Your information will not be shared with 3rd party. It will remain private within Maggie Music LLP No Comment Comments are closed.
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