James Ong Piano Teaching: Vancouver, BC

registration form

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2009-10 Registration Form

Please complete the electronic registration form.  Once your details have been received, James Ong will contact you to schedule your first lesson.  Please note that all entries marked with an "*" are required.

Parent/Guardian/Student Information:

  First Name:*
  Last Name:*
  Mailing Address:
  Home Number:*
  Mobile Number:
  Work Number:
  Email Address:*
   

Registrant Information:

 
  Student's Name
  Student's Birthdate(s)
   

NEW Enrolment:

 
Please state your availability and/or school dismissal time.
   

Re-Enrolment:

 
1.  Would you like the same day and time? Yes    No
2.  If you would like to change the day or time, please state your preferences.
3.  Would you or your child/children like to continue lessons during the summer holidays? July    August
4.  What music goals do you (parents/students) have for this year (feel free to call to discuss)?
   

I have read, understood, and agree to the following policies:

Rates & Policies Yes    No
Privacy Policy Yes    No
   

Comments:

 

James Ong § 604-732-8606 § james@jamesong.ca § www.jamesong.ca § Privacy Policy § Vancouver, BC                                                 © James Ong Piano Teaching 2005-10