Register for Children or Adult Music Lessons at Tauber Music School

This form is ONLY for use by students currently registered with Tauber Music or Winnipeg Yamaha Music School.

Use this form to submit a registration for the 2012 Tauber Music Festival taking place Sunday, June 10, 2012 at the Winnipeg Convention Centre. Registration deadline is March 24, 2012.

Student Information

Student First Name * Student Last Name *

Date of Birth *

Check here if you are over 18?

(format: MM/DD/YYYY)

Program Information

Please select one of the following: *

Studio Location * Instructor *

Select the Program Category in which you will perform: *

Select the Music Course You are Studying: *

Select Your Music Grade or Level for the Course You are Studying: *

Payment Options *

Select one of the following payment options: *

I am currently enrolled in the pre-authorized chequing or credit card plan at Tauber or Yamaha Music School. Please debit my account.

Invoice my account*. *Payment must be received in our office on or before March 24, 2012.

Pay by credit card over the phone (Visa or MasterCard). Call (204) 697-4565 (Tauber Music) or (204) 786-1199 (Yamaha Music) to make your payment.

Please read and check the box beside each of the conditions below: *

I give permission for the above named student to participate in the 2012 Tauber Music festival.

I understand that the registration fee is not refundable after March 24, 2012.

I understand that requests for performance time can not be accepted.

I have checked all information and understand I am responsible for the accuracy of the information entered on this form. **

**IMPORTANT** You will be scheduled in a class based on the information submitted on this form. Please confirm your Date of Birth, Program Category and Grade Level are correct and that all other information entered is accurate. Tauber Music School is not responsible for a student scheduled in the wrong performance class due to incorrect information received.

In the event of an error in the information submitted please contact the school immediately at (204)697-4565.

Contact Name * Contact Phone *

Application Date * Contact Email *

(format: MM/DD/YYYY)

For information or to register... Give us a call!