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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
About Us
Our Team
Board of Directors
Annual Reports
Get Involved
Donate Now
Volunteer
Our Supporters
Corporate & Foundation
Bill Graham Youth Centre
Careers
Bids and Tenders
Contact Us
Accessibility
News & Events
Media Centre
Music for Life
Our Fair Share on Wheels
Dixonlicious
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, and meet the age requirement for the instrument.
Within the first year of lessons, students may enroll in only one subject. Please note that there is a waitlist for some instruments.
Once offered a time slot, 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. Tax statements are acceptable. 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 children are in your household (including those who aren’t enrolling)?
*
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
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