The Octave Music Centre Online Registration

Music Lessons Sign Up

Student Full Name*

Parent Full Name (If applicable)

Email of Parent / Adult Student
(Ex: jeffjohnson@gmail.com)*

Secondary Email (optional)

Phone Number (###-###-####)*

Full Address (Ex: 3 Victoria Rd S. Guelph Ontario)*

Pronouns*

Birthday (MM-DD-YYYY)*

Instrument*

Skill Level*

Preferred Teacher*

Preferred Day and Time (Ex: Mondays after 5)*

How did you hear about us?*

Any Concerns / Notes

Second Student Full Name (If applicable)

Second Student Birthday (MM-DD-YYYY)

Second Student Pronouns

Second Student Instrument

Second Student Skill Level

Second Student Preferred Teacher

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