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 we will contact you.

"*" indicates required fields

Contact Information

Student's Name*
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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