Cabbagetown Community Arts Centre      Enrollment Form
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Email *
Instrument or Group Class: Piano  *
I prefer *
Student Name *
Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Home Telephone *
Work Telephone
Cell Phone
Address *
Apt #
City *
Postal Code *
Have you taken lessons before? *
If so , where?
How did you hear about the CCAC? *
  

Your first payment will be 
 *
I accept the CCAC policies and agree to abide by them.
*
Required
Annual Total Family Income *
I verify that all the information provided is accurate
*
Required
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