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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