Register Now | Sesaya Music Studio

Please read our Terms & Conditions.

Student *

First

Last

Date of Birth *

DD/MM/YYYY

Registering more than 1 student?

If "Yes", please enter additional students' information below.

Student #2

First

Last

Date of Birth

DD/MM/YYYY

Student #3

First

Last

Date of Birth

DD/MM/YYYY

Parent / Guardian (1) *

First

Last

For students under 18 years of age.

Contact Numbers *

(e.g., home, cell, work)

Email *

Parent / Guardian (2)

First

Last

For students under 18 years of age.

Contact Numbers

(e.g., home, cell, work)

Street Address *

Street Address (copy)

City *

Province *

Postal Code *

Instruction *

Piano
Violin
Voice
Music & Movement

Please select the desired form of instruction:

Individual (Private) Instruction

Royal Conservatory of Music Examination Preparation

Paired (Semi-Private) Instruction

Small Group (3-4 Students) Instruction

Parent & Child Music & Movement (Arranged by Request)

8 weekly sessions; $200/child AND parent

Special Instructions

Is there any additional information we should know about the student (e.g., allergies, etc)?

Pick Up & Drop Off

Provide the names of any other individuals other than the listed Parent(s) / Guardian(s) who are authorized to pick the student up from Sesaya.

I have read, and agree to, Sesaya's Terms and Waiver (see link below). *

Comment

By clicking Submit, you have read, and agree to, our Terms and Waiver.

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