Adaptive Learning Find a Teacher Form - Victoria Conservatory of Music
Centre for Music Therapy Adaptive Learning Adaptive Learning Find a Teacher Form

Adaptive Learning Find a Teacher Form

We are Canada's Leading Centre for Music Therapy and Wellness

Please fill out and submit the following information and the Head of Music Therapy and Wellness will contact you.

"*" indicates required fields

Contact Information

Student's Name*
DD slash MM slash YYYY
Address*
Parent/Guardian/Payer Name (if different from student)
Preferred Contact Method

Availability

Which location is preferred?*

Musical Interest Information

Please indicate the preferred musical style or music skills to study, if known
How did you find this form?

Financial Information

PLEASE NOTE: Autism Funding (AFU) can only be used for services provided by a Certified Music Therapist (MTA), adaptive music lessons taught by instructors who are not Music Therapists are not eligible for AFU coverage. Do you plan on using a third party funder to cover lessons?
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