PRIVATE LESSON REGISTRATION

We accept new students year round. Join us anytime!

Please complete the below form if you are interested in private music lessons, and we will contact you via email within 7 days to confirm your registration and finalize your scheduled day and time. Or email us for more information at info@dominellimusic.com or call 780-488-8515. Thank you, we look forward to sharing music with you this season!

Private lessons are $26.50 per 30 minute lesson, billed on the first of each month. If you would ever like to stop, just let us know before the first of the month and you won't be charged. We work with you to pick the perfect day, time, and instructor for your lesson.

Important information:
- Let us know the best days and times that work for you.
- Let us know your secondary best days and times that work for you in case your favorite options are not available.

PARENT CONTACT INFORMATION

First Name *

Last Name *

Street Address *

City *

Home Phone: *

Cell Phone:

Email Address *

SEPTEMBER REGISTRATION

Please select the location you prefer for your lessons: *

Please insert your favorite and alternate days and times that work best for you.

Please insert the name of the student below. If you are registering more than one student please click on the green cross icon beside each field.

Student Name

+-

Instrument Type

+-

Age of the Student:

+-

Let us know if you have a teacher preference, style of music, RCM, any disabilities. Just let us know about yourself. :-)

CREDIT CARD TO BE USED FOR PAYMENT

Note that you will not be charged until you receive a confirmation email from Dominelli School of Music with your finalized lesson day, time, location and start date.

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV Number (3 digit number on back of credit card) *

Dominelli Music School policies regarding cancellations and refunds; *

https://dominellimusic.com/information/about-us/

PRIVATE LESSON REGISTRATION

Important information:- Let us know the best days and times that work for you.- Let us know your secondary best days and times that work for you in case your favorite options are not available.

PARENT CONTACT INFORMATION

SEPTEMBER REGISTRATION

CREDIT CARD TO BE USED FOR PAYMENT

Important information:
- Let us know the best days and times that work for you.
- Let us know your secondary best days and times that work for you in case your favorite options are not available.