Online Registration for Paid Trial Lessons

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Online Registration Form for Paid Trial Lessons

Upon completion of this form, we will contact you within 24 hours to schedule for a lesson.

* Indicates required field

Name of Child *

First

Last

Date of Birth of Child (Day / Month / Year) *

Name of Parent or Guardian *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Alternative Email Address *

Cell Phone Number *

Home Phone Number *

Subject Choice *

Tuition for 30 minutes of private lesson (instrument) = $45.00
Tuition for Music Initiation or Music Ensemble = $45.00
Tuition for 1.5 hours of oil painting, drawing & water colors = $47 (taxes included)

* Private lesson times can be arranged based on teacher and student availability.
** Group lesson times are fixed.

Student Availability / Preferred times for lessons *

Credit Card *

VISA Mastercard American Express

Name on credit card *

Credit Card Number *

Expiry Date (Month / Year) *

CSV *

I, hereby, the undersigned authorize Lambda School of Music and Fine Arts to charge the amount indicated. Minimally 48 hours advance notice is required for re-scheduling of private lessons otherwise lesson will be forfeited. Missed group classes are will not be made up. Tuition paid is non-refundable. *

Please type parent's full name in this space

How did you hear about our Music Initiation Program and our school? *

Google Search Facebook Ad Other online searches Montreal Families Magazine Word of mouth from friends or relatives Saw our building, living in the vicinity Chinese Newspaper Others

Questions or Comments *

Note: All prepaid pay trial lessons require a minimal of 48 hours prior notification, otherwise the lesson will be forfeited. Please write your full name in the box to confirm acknowledgment. *

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