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EARLY YEARS/CHILDREN/TEEN REGISTRATION FORM
Please NOTE: Due to personal reasons, our vocal coach is only accepting registrations for WAIT LIST. You will be contacted when bookings become available.
Check all that apply:
*
Voice 30 minutes $45
Voice 60 minutes $90
Voice 30 minutes 10 lesson package $450
Voice 60 minutes 10 lesson package $900
New Clients: 4 X 60 minutes SPECIAL $180
New Clients: 4 X 30 minutes SPECIAL $90
*
Indicates required field
STEP 1: Total Fees
*
STEP 2: Referral Discount Total: ($10 Per Registering Family You Have Referred):
*
STEP 3: Subtotal (Step 1 - Step 2):
*
STEP 4: 5% GST Amount (Subtotal X .05):
*
STEP 5: Subtotal + GST = GRAND TOTAL
*
:: general information ::
Student Name
*
First
Last
MSP Number
*
Age
*
Please list any allergies or medical conditions we should be aware of:
*
Parent/Caregiver/Guardian Name
*
First
Last
Parent/Caregiver/Guardian Email
*
Home Phone Number
*
Mobile Phone Number
*
Work Phone Number
*
Place of Employment
*
:: address ::
Street Number, Street Name
*
City/Town
*
Province
*
Postal Code
*
:: parent/caregiver/guardian address
(if different from student
::
Parent First Name
*
Parent Last Name
*
Street Number, Street Name
*
City/Town
*
Province:
*
Postal Code
*
:: emergency contact ::
First Name
*
Last Name
*
Street Number, Street Name
*
City/Town
*
Province
*
Postal Code
*
Emergency Contact Phone Number
*
Please share a little bit about you (or your child). This may include past musical experience, a natural creative tendancy, training, how you currently support their passion, etc
*
PROMO CODE IF APPLICABLE
*
Submit
Home
ABOUT
Staff
Coaches
Gallery
Calendar
LTS News!
SERVICES
Camps And Workshops
Performing Groups
Women Sing, Sisters Gather
Registration
Payment
Star Child Music
>
Events
CONTACT
Twitter
Community