Register for Classes

Step 1- Read the Selke Music School Policy

Step 2 – Send in a registration form

Step 3- I’ll contact you to set up a schedule and payment plan

Step 4 – Send in your first months tuition to hold your spot and get ready to make music!

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Student Name

Date of Birth (DD/MM/YY)

Previous Musical Experience (and if parents have any musical experience)

Allergies

Favorite Colour

Is the Student Left or Right Handed?

What School Do They Attend?

What Grade Are They In?

Do They Have Any Learning Disabilities? If yes, what are they?

Do you have an instrument to practice with at home? (Piano Program only)

Parents/Guardian Names (N/A for adult students)

Home Phone Number

Cellphone numbers (please specify who’s it is!)

Physical Address

Mailing Address

Who should I be communicating with in regards to payment, changes to scheduling, events, practice, book purchases etc.

Emergency contact during classes

Do you want classes in Gladstone or Neepawa?

Which Semesters are you planning to participate in? (Fall: Sept-Nov; Winter: Nov to April and Spring & Summer: May to August) Please note that students who participate for all semesters are given priority in registration.

Which Class do you want to be enrolled in?

How will you be paying?

*Please Note* Your space in the program will only be reserved after your first non-refundable payment for the years tuition is received.

By clicking Send, I have read and understand the School Policy and understand that all tuition is non refundable, that pictures/videos taken during class may be used for promotional materials and that by registering I agree to receive newsletters and promotional material from Selke Music School.

Yes, I am a Human!

If aren’t contacted with in a few days of submitting your form please call 204-408-0652 or directly email SelkeMusicSchool@gmail.com

The form might not send if the information is missing or has been entered incorrectly.