Theory Lesson Registration

For Music Lessons, click here.

1. Student Information

First Name (required)

Last Name (required)

Middle Initial

Age Today

Address (required)

City (required)

Province (required)

Country (required)

Postal Code (required)

Phone Number (required)

Alternate Phone Number

Email (required)

2. Emergency Contact

Last Name

First Name

Phone Number

Relationship

3. Student's Musical Background

Instrument

Music Grade

Additional Comments Regarding Musical Background and Training

Music Theory courses (please check all theory courses that you have completed or are currently studying)

Basic Rudiments
Intermediate Rudiments
Advanced Rudiments
Basic Harmony
Intermediate Harmony
Advanced Harmony & Counterpoint
History Level 1 – Overview
History Level 2 – Middle Ages to Classical Period
History Level 3 – Romantic to Modern Era
Counterpoint
Analysis
Jazz Theory

Other Courses Completed:

4. Program Choice

Theory Course

Additional Theory Course

Lesson Type

School Location