top of page

Private Lesson Registration

Please ensure you contact a teacher to confirm lesson details prior to completing a registration form.

Please fill out the online registration form below or download a physical form and email it to us

Private Lesson Registration Form

Please confirm a lesson time, length and quantity with a teacher before submitting a registration form

Student Info

New or Returning
How many total students are you registering?

If student is under 19, please enter student's birthdate

Which instructor have you scheduled with?

Leave Blank if Unsure

Contact Information

Medical condition(s) of concern?
Yes
No

Additional Information & Permissions

Would you like to donate to help someone who cannot afford lessons?
$10
$25
$50
$100
Not right now
Other
Photo Permissions
Yes: I give permission to the Kelowna Community Music School to use this student’s image in KCMS music related advertising, social media and newsletters
No: I do not wish to have my photo taken or published by the Kelowna Community Music School.

Optional

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign to indicate your acceptance of the KCMS policies and to confirm the information on the registration form is correct.

When your registration form has been processed, you will sent an invoice.


Please confirm a lesson time, length and quantity with a teacher before submitting a registration form.

bottom of page