The Tri-City School of Music Online Registration

Online Registration Form

Request Drop-In Lessons and Class Information.
The Drop-in Lesson date and time will be confirmed by the TCSM office. Please Call 604-474-4766 if you have any questions.

* denotes required fields

Referral Information

How did you hear about us?*

Family Information

Where do you live?

Home Address*

City*

State/Prov*

Postal Code*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Previous Musical Training?*

Instruments I want to learn*

Instruments owned/at home

Online or In-Person Lessons?

Lesson Day & Time Preference

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Previous Musical Training?*

Instruments I want to learn*

Instruments owned/at home

Online or In-Person Lessons?

Lesson Day & Time Preference

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Previous Musical Training?*

Instruments I want to learn*

Instruments owned/at home

Online or In-Person Lessons?

Lesson Day & Time Preference

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Previous Musical Training?*

Instruments I want to learn*

Instruments owned/at home

Online or In-Person Lessons?

Lesson Day & Time Preference

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Previous Musical Training?*

Instruments I want to learn*

Instruments owned/at home

Online or In-Person Lessons?

Lesson Day & Time Preference

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

Country *

City

State/Prov*

Postal Code*

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)