Regent Park School of Music Online Registration

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 # *

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 #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender Pronouns

Birth Date*

Cell #

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 #

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 #

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 #

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 #

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

(Show-Hide Details)

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

(Show-Hide Details)