Create an Account - Vancouver Academy of Music

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Student Information

Student's Name*

First Last

Gender*

Birth Date*

School Attending

Student's Cell #

Student's Email

Student's SIN #

Not required - the SIN number will only be used for finanical aid.

Student's Primary Instrument

Student's Secondary Instrument (optional)

Student's Subject

Student's Name*

First Last

Gender*

Home phone

Cell #

Student's Email*

Password*

Enter Password Confirm Password

Birth Date*

Student's SIN #

Not required - the SIN number will only be used for finanical aid.

Primary Instrument*

Secondary Instrument

Subject

Parent / Guardian's Name*

First Last

Occupation & Title

Cell #

Parent / Guardian's Email*

Password*

Enter Password Confirm Password

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Comments

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