Register #9195 - vancomusic

Registration Form

I am a:

Parent / Guardian

Student Information

First name:

Vancouver Conservatory of Music

Last name:

The

Date of Birth:

2024-12-19

Parent Information

First name:

B

Last name:

H

Parent / Guardian's Email:

behrang.khalili@yahoo.com

Contact Number:

7785132574

Relationship to student:

Kkkk

Address

Country:

Canada

City:

Coquitlam

State / Province / Region:

BC

Address Line 1:

2975 Atlantic Ave

Address Line 2:

ZIP / Postal Code:

V3B 0C5

Program Selection

I am looking for:

In-person Lessons

What level would you like to register?

Level 9 and Upper

Please write the program or instrument you are interested in:

Ghbg

How many days a week would you like to have classes?

Twice a week

Which days are you available for lessons?

Tuesday

We'd love to know how you heard about us:

Search Engine (Google, Bing, etc.)

Referrer:

Hbh