REQUEST INFORMATION Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastChild's NameFirstLastIf requesting information on classes for your child, please include their first and last name.Child's BirthdateIf requesting information on classes for your child, please include their birthdate.Email Address *Phone Number *Please choose a campus *WellandSt. CatharinesNiagara FallsPlease choose an instrument *Acoustic GuitarBass GuitarElectric GuitarMandolinPiano/KeyboardUkuleleVoiceHow did you hear about us? (Check all that apply)WebsiteSocial Media (Facebook, Twitter, Instagram)Search Engine (Google, Bing, etc.)Newspaper/Magazine AdRecommended by Student/ParentOtherSubmit