register for lessonsPlease complete the following registration form for 2024-2025. For families with multiple children enrolled at CMSWR, each child requires a separate form.For questions, please email us. Student Info Student Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student Email (if applicable) Student Cell Phone (if applicable) (###) ### #### Gender * Male Female Prefer not to say Date of Birth * MM DD YYYY Grade * JK SK Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Allergies or Other Medical Concerns: Primary Parent/Guardian Information Name * First Name Last Name Phone * (###) ### #### Email * Secondary Parent/Guardian Information Name First Name Last Name Phone (###) ### #### Email Lesson Availability For 2024-2025, we will be offering lessons on TUESDAYS (4:30pm-6:30pm) and SATURDAY MORNINGS (9:30am-1:30pm). TUESDAY LESSONS will be located at The St. Matthews Centre, 54 Benton St, Kitchener. SATURDAY LESSONS will be located at Martin Luther University College, 75 University Ave W, Waterloo (Laurier Campus). For ages 4-6, we offer Music & Movement group classes. For ages 7+, we offer one-on-one lessons in piano, guitar, bass guitar, voice, violin, and **NEW** this year - flute. Please note that CMSWR will do our best to accommodate your preferred lesson times. However, this is not always possible. The greater your availability, the easier it is to schedule lessons. My Child is Registering for the following instrument: * Music & Movement (Ages 4-6) Piano Guitar Bass Guitar Voice Violin Flute My child is available for the following lesson times: * Please select all available times. We will do our best to accommodate your schedule but cannot make any guarantees. TUESDAY, 4:30pm-5:00pm (KITCHENER) TUESDAY, 5:00pm-5:30pm (KITCHENER) TUESDAY, 5:30pm-6:00pm (KITCHENER) TUESDAY, 6:00pm-6:30pm (KITCHENER) SATURDAY, 9:30am-10:00am (WATERLOO) SATURDAY, 10:00am-10:30am (WATERLOO) SATURDAY, 10:30am-11:00am (WATERLOO) SATURDAY, 11:00am-11:30am (WATERLOO) SATURDAY, 11:30am-12:00pm (WATERLOO) SATURDAY, 12:00pm-12:30pm (WATERLOO) SATURDAY, 12:30pm-1:00pm (WATERLOO) SATURDAY, 1:00pm-1:30pm (WATERLOO) Media Release I give permission for any photos/video taken of my child during the 2024-2025 program year to be used for the purposes of promoting and fundraising for the Community Music School of Waterloo Region. * Yes No Agreements • The non-refundable lesson fee of $20 per term will be payable at the beginning of each term of lessons (September and January), unless alternative arrangements are made with the Executive Director. • If a student will be missing a lesson, it is expected that they communicate this to their teacher in advance. • If a student misses two lessons in a term, they will lose their lesson spot and forfeit their registration fee. • Lessons that are missed due to extenuating circumstances (i.e. illness, family matters, etc.) will be addressed on a case by case basis. • Instruments borrowed from CMSWR are expected to be returned on the student's last day of lessons. I have read the above and agree: * Yes No Parent/Guardian Name * First Name Last Name Date * MM DD YYYY Thank you for completing the 2024-2025 Registration Form! A member of our team will contact you to confirm your lesson details. Thank you for your interest! Learn more about the Community Music School of Waterloo Region about our school
