Private Lessons Placement Request Form

Use this form to request private lessons placement. Required fields are indicated in red.
For general enquiries, contact The Conservatory at 403.440.6821.

Student Applicant:

LESSON TYPE



STUDENT NAME

Last Name 

First Name 

DATE OF BIRTH        Year (4 digits)      Age 

GENDER 

ADDRESS

Street Address:
    Apartment: 

City:


Province/State:


Postal/Zip Code


Country
TELEPHONE
(Res)
(Cell)
EMAIL
No. of years previous instruction      Previous Instructor 


Other Involvement/Comments (e.g. school band or choir; special experience or interests)


How did you hear about The Conservatory? 



Parent or Guardian (if applicant is under 18):

Last Name 

First Name 

Relationship 

Telephone
(Daytime)
(Cell)
Email


The personal information collected through the Mount Royal University Conservatory application and registration process is collected under the authority of the Alberta Freedom of Information and Protection of Privacy Act Section 33(c) and is protected by that act. It will be used for processing the registration(s) of you or your child, for the administration and teaching of the educational programs in which you/he/she participate(s) and for University research and planning purposes. Non-financial information may be shared with instructors, administrators, other parents or students and with associations affiliated with the University for the purposes of the educational program and for the public performances of you or your child. Financial information is used solely for the purpose of processing payments for the courses.

Occasionally, The Mount Royal University Conservatory will distribute information, publicity or promotion about opportunities and events which we believe are complementary to and consistent with the role of education in the arts. Your personal information will be retained by The Mount Royal University Conservatory and not provided to a third party.

For further information about the above, please call the Manager, Conservatory Support, at 403.440.6821.

Do you wish to be included on our mailing list?