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DONATE
VOLUNTEER
What We Do
Children & Youth
Employment Services
Housing Services
Rooming Houses
Music School
Programs and Registration
Neighbourhood Services
Seniors’ Services
Who We Are
Our Team
Our Supporters
Corporate & Foundation
Bill Graham Youth Centre
Our Mission, Vision & Values
Our History
Media Centre
Annual Reports
Board of Directors
Get Involved
Donate Now
Dixon Hall Summer Camp
Toronto Challenge
Volunteer
Community Development Program
Membership
Careers
Contact Us
Accessibility
News & Events
News & Events
Videos
Dixonlicious
Toronto Challenge
Contact Us
Music Lesson Registration Form
Page
1
of 6
Registration Requirements:
Your child must live between Jarvis St. to Broadview Ave. and Wellesley St. to Lake Ontario.
To complete the registration process, we require families to provide proof of income (monthly gross income from all sources) to determine the cost of lessons. Returning families must provide this information annually for each new school year in September. We do not accept tax statements. All of your information is kept confidential.
You will have the option to enroll up to four children in Dixon Hall Music School. If you are enrolling more than one child, after completing all information for your first child, please hit the NEXT button to proceed with the registration process for your next child. Once you have inputted all your children’s information, please hit the submit button on the last page.
Parent/ Guardian Information
Parent/Guardian #1
*
Please select
Mr.
Mrs.
Ms.
First Name
*
Last Name
*
Parent/Guardian #2
Please select
Mr.
Mrs.
Ms.
First Name
Last Name
Address
*
City
*
Postal Code
*
Primary Phone
*
Secondary Phone
Email address
*
Note: Bills will be sent electronically to your email address if provided.
Preferred Method of Contact
*
Phone
Email
Both
How many people in your household?
*
Language(s) spoken at home
*
How did you hear about Dixon Hall Music School?
Do you give Dixon Hall permission to use photos/videos of your children for promotional purposes?
*
Yes
No
How many children are you enrolling in Dixon Hall Music School?
Please select
1
2
3
4
Lesson Fees & Payments
All lesson fees are subsidized and are based on family income and the number of dependents. Upon registration, families will be required to provide an up to date proof of income from all sources to determine lesson rates. This information will be kept confidential.
Next
Child #1
First Name
Last Name
Gender
Optional to provide pronouns: She/Her, He/Him, They/Them, etc.
Age
Birthday
*
Student Phone
Student Email Address
Instrument (1st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Instrument (2st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Check one:
I need to rent an instrument
I own my own instrument
I currently rent an instrument
Does your child take music lessons currently, or has studied music in the past? If yes, where and for which instrument?
Does your child have any medical (allergies, etc) or mental health conditions, and/or learning disabilities that we may benefit from knowing?
Back
Next
Child #2
First Name
Last Name
Gender
Optional to provide pronouns: She/Her, He/Him, They/Them, etc.
Age
Birthday
*
Student Phone
Student Email Address
Instrument (1st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Instrument (2st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Check one:
I need to rent an instrument
I own my own instrument
I currently rent an instrument
Does your child take music lessons currently, or has studied music in the past? If yes, where and for which instrument?
Does your child have any medical (allergies, etc) or mental health conditions, and/or learning disabilities that we may benefit from knowing?
Back
Next
Child #3
First Name
Last Name
Gender
Optional to provide pronouns: She/Her, He/Him, They/Them, etc.
Age
Birthday
*
Student Phone
Student Email Address
Instrument (1st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Instrument (2st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Check one:
I need to rent an instrument
I own my own instrument
I currently rent an instrument
Does your child take music lessons currently, or has studied music in the past? If yes, where and for which instrument?
Does your child have any medical (allergies, etc) or mental health conditions, and/or learning disabilities that we may benefit from knowing?
Back
Next
Child #4
First Name
Last Name
Gender
Optional to provide pronouns: She/Her, He/Him, They/Them, etc.
Age
Birthday
*
Student Phone
Student Email Address
Instrument (1st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Instrument (2st Choice):
Please select
Piano (5+)
Recorder (5+)
Viola (5+)
Violin (5+)
Drums (6+)
Percussion (6+)
Clarinet (6+)
Flute (6+)
Saxophone (6+)
Cello (8+)
Classical Guitar (8+)
Bass Guitar (8+)
Guitar (8+)
Digital Music Production & Composition (8+)
Voice (8+)
Check one:
I need to rent an instrument
I own my own instrument
I currently rent an instrument
Does your child take music lessons currently, or has studied music in the past? If yes, where and for which instrument?
Does your child have any medical (allergies, etc) or mental health conditions, and/or learning disabilities that we may benefit from knowing?
Back
Next
Submit
I agree to ensure my child(ren) are aware of their responsibilities as a student, and will practice regularly and attend all weekly lessons if accepted at Dixon Hall Music School.
Back
Send
This field should be left blank
