Gregory Chase Music Studio
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Lessons 1 - 10
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Class #1 - Sept 16/17
Class #2 - Sept 23/24
Class #3 - Sept 30/Oct 1
Class #4 - Oct 7/8
Class #5 - Oct 14/15
Class #6 - Oct 21/22
Class #7 - Oct 28/29
Class #8 - Nov 4/5
Class #9 - Nov 11/12
Class #10 - Nov 18/19
Lessons 11 - 20
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Class #11 - Nov 25/26
Class #12 - Dec 2/3
Class #14 - Jan 6/7
Class #15 - Jan 13/14
Class #16 - Jan 20/21
Class #17 - Jan 27/28
Class #18 - Feb 3/4
Class #19 - Feb 10/11
Class #20 - Feb 24/25
Lessons 21 - 30
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Class #21 - Mar 3/4
Class #22 - Mar 10/11
Class #23 - Mar 17/18
Class #24 - Mar 24/25
Class #25 - Mar 31/April 1
Class #26 - April 14/15
Class #27 - April 21/22
Class #28 - April 28/29
Class #29 & #30 - May 5/6 & 12/13
Tonal & Rhythm Patterns
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Course Registration
Please note, all fields indicated with a red asterisk (*) must be filled in before submitting the Registration Form.
STUDENT INFORMATION
*
Indicates required field
Name of Student
*
First
Last
Student's Email Address
*
Home Phone Number
*
Street Address (Optional)
*
City/Town
*
Province
*
Postal Code
*
Grade in School
*
1
2
3
4
5
6
7
8
9
10
11
12
Post Secondary
Adult
Age
*
STUDENT'S MUSICAL BACKGROUND
Level in Music (e.g. Grade 8 RCM)
*
Level of Theory (e.g. Basic Harmony, or Advanced Rudiments etc)
*
Primary Instrument
*
Other Instruments and Level
*
Teachers I'm currently studying with: (List private music instructors)
*
Additional Comments (Is there anything I should know about your child)
*
PARENTAL/GUARDIAN INFORMATION
(If you are a mature student, fill this section in with your own information)
Parent/Guardian 1
*
First
Last
Email Address
*
Primary Phone Number
*
Cell Phone Number
*
Work Phone Number
*
Parent/Guardian 2
*
First
Last
Email Address
*
Primary Phone Number
*
Cell Phone Number
*
Work Phone Number
*
Address if different than above
*
COURSE REGISTRATION
I am registering for:
*
Developing Musicianship through Improvisation
RCM History 9 - ONLINE
RCM History 9 - In-Class (if offered)
History 10 - ONLINE
History 10 - In-Class (if offered)
RCM Harmony 9 - ONLINE
RCM Harmony 9 - In-Class (if offered)
RCM Harmony 10 - In-Class / Private
Piano Lesson
Pedagogy Lessons
RCM Elementary Pedagogy
RCM Intermediate Pedagogy
RCM Advanced Pedagogy
Other
Other, if selected above.
*
I am planning on writing the exam in the following exam session: (State month and year of exam session).
*
I have read the Course Outline and understand that there is no refund from early withdrawal from a course.
*
Yes
No
PAYMENT OF TUITION
*
I will pay by Interac Email Money Transfer
I will send a cheque in the mail
Monthly Post-dated cheques (In-class courses only)
Additional Comments
*
Thank you for your registration.
The Registration Form will be sent when you click on the SUBMT button below. You will receive confirmation (on the next screen) that your registration form has been submitted. I'll be in contact with you shortly to confirm your registration and to give you further details. If you do not receive confirmation of your registration, or hear back from me within 24 hours, please
email
me directly.
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