Regent Park School of Music Online Registration

Registration

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Please create a profile for yourself below to become a part of our mailing list, and to enroll in programming. Music lessons are free of charge, and will largely take place in-person at Regent Park (585 Dundas E) or Jane Finch (1725 Finch Ave W). Our programming is designed to ensure its accessibility towards families based on financial need/social support. No Credit Card is required!

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Province*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Parent/ Guardian 1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/ Guardian 2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Allergies or other relevant medical concerns

Photos/Videos Allowed (Y/N)*

Walk home alone consent (Y/N)

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Allergies or other relevant medical concerns

Photos/Videos Allowed (Y/N)*

Walk home alone consent (Y/N)

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Allergies or other relevant medical concerns

Photos/Videos Allowed (Y/N)*

Walk home alone consent (Y/N)

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Allergies or other relevant medical concerns

Photos/Videos Allowed (Y/N)*

Walk home alone consent (Y/N)

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Regent Park School of Music. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Allergies or other relevant medical concerns

Photos/Videos Allowed (Y/N)*

Walk home alone consent (Y/N)

Add Another Student

Required Policies

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Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Additional Info

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

Required Policies

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