CNCM Coaching Class Registration Form

Step 1 of 3: Submit

Please fill out all fields on this form and submit with PayPal payment to CNCM.

Venue Requested

COACHING CLASSES WILL BE SCHEDULED AT THIS VENUE OR A VENUE IN THE CLOSE PROXIMITY

Venue is subject to approval by CNCM

Coaching Class Session: Winter Spring Summer

Deadlines: Winter (Dec 1, 2020); Spring (Mar 1, 2021) Summer (Jun 1, 2021)

Please contact the registrar office if you would like to host a coaching class session at a time not listed above.

Code: Grade Candidate Number:

Student Information: NEW New Address

Birthday:

STUDENT CONTACT INFORMATION

**Please enter student's name, not parents.

Student's Surname: Student's Given Name and Middle Initials Street Address: City: Province: Postal Code: Telephone: email:

TEACHER INFORMATION

NEW TEACHER CHANGE OF TEACHER New Address Surname: First Name and Middle Initials Street Address: City: Province: Postal Code: Telephone: email: Title(s) of Piece(s), Composer(s): TOTAL FEE ENCLOSED: