Register – Wilton Academy of Music

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Program Selection
Programs*
- Group Music Classes (PWM, MEC, or Guitar Groups)
- 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*
Gender*
- Male
- Female

Parents Information
Parent/Guardians Name*
First Last
Mailing Address*
Street Address City Province 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)
Spam Test
Phone
This field is for validation purposes and should be left unchanged.

Program Fees & Registration Codes

View program fees and registration codes.

Class Dates & Holidays

View class dates and holidays

Contact Us

We'd love to hear from you. Get a hold of us via email with any questions or comments.

Programs
Private Lessons
Instructors
Resources
News
Contact
Register