Programs
Daycare Music Programs
Ages 0-3
Ages 3-6
Class Schedule
Private Lessons
Instructors
Resources
News
Contact
Register
Program Selection
Programs
*
Group Music Classes (PWM or MEC)
Private Instrumental Lessons
Class registration code
*
[view program fees and registration codes]
Lesson Instrument
*
Suzuki Piano
Suzuki Guitar
Traditional Piano
Traditional Guitar
Traditional Violin
Day / Time Preference
*
Please list up to 3 day/time preferences
Day
Time
Lesson Duration
*
30 minutes
45 minutes
60 minutes
Lesson Instructor
preference, if any
Students Information
Students Name
*
First
Last
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
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31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
2005
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2002
2001
2000
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1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Gender
*
Male
Female
Parents Information
Parent/Guardians Name
*
First
Last
Mailing Address
*
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Phone
*
please provide best number to be reached at
Email
*
Enter Email
Confirm Email
How did you hear about us?
*
I'm a returning client
Word of mouth
Friend/family
Sign/poster
Leisure guide
Community newsletter
Facebook
Google search
Cancellation Policy
*
[view our cancellation policy]
I agree to all terms of the cancellation policy
Photo Release
*
Wilton Academy of Music Inc. requests permission to use photos of students in a class setting for future promotional use. No names will be associated with any images.
Yes, I do give permission for photos to be used for future promotional use.
No, I do not give permission for photos to be used.
Payment
*
[view our payment instructions]
Cheque
Email transfer
Installments (applicable to fees greater than $260, cheques only)
Comments
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Programs
Daycare Music Programs
Ages 0-3
Ages 3-6
Class Schedule
Private Lessons
Instructors
Resources
News
Contact
Register
