International Student Registration

1. Student Information

First Name (required)

Last Name (required)

Middle Initial

Address (required)

City (required)

Province (required)

Country (required)

Postal Code (required)

Phone Number (required)

Alternate Phone Number

Email (required)

2. Emergency Contact

In Canada:

Last Name (required)

First Name (required)

Phone Number (required)

Relationship (required)

In Your Home Country:

Last Name (required)

First Name (required)

Phone Number (required)

Relationship (required)

3. Student's Musical Background

Instrument

Music Grade

Additional Comments Regarding Musical Background and Training

Music Theory Courses Studied

System Studied

If Other:

4. Program Choice

Instrument (required)

Theory Course(s) (required)

School Location (required)

5. Payment of Entry Fee

Payment by: (required)

Credit Card Number (no spaces) (required)

Expiry Date (no spaces) (required)

Cardholder's Name (required)