Theory Classes Request
Student's Full Name (registered name with RCM) *
Your answer
RCM Number *
Your answer
Which RCM Rudiments class do you want to request? *
Parent or Guardian's Name *
Your answer
Parent or Guardian's phone number
eg. xxx-xxx-xxxx
Your answer
Home Address
(include City, Province and Postal Code)
Your answer
E-mail Address
Your answer
Preferred Date and Time (Available Dates: Tuesdays, Wednesdays, Thursdays and Saturdays)
eg. 5:00-6:00pm on Tuesdays
Your answer
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