Kelly Kirby Teacher’s Course

August 19-20

10:00 a.m. to 4:00 p.m.

THE ARTS CONNECTION
#5–12491 No 2 Road Richmond, BC V7E 2G3

Questions? Please call us at (604)241-0141 EXT. 236
or email us at info@kelly-kirby.com

APPLICANT INFORMATION
Last Name
First Name
Date of Birth
Street Address
City
Province Postal Code
Home Phone Cell
Email
How did you hear about us?
 
EDUCATION (Include Musical Background)
College/University
Address
From To
Did you graduate? Yes No 
Degree/Certificate/Diploma
 Royal Conservatory of Music
From To
Grade Completed
Are you a member of a music teacher's organization? Yes No 
If yes, name of organization
Additional Information (Awards, Academic Honours, Prizes):
         
TEACHING EXPERIENCE
(Please give details of current and previous teaching experience listing the most recent first)
Studio
Position Description
Phone
Studio
Position Description
Phone
Studio
Position Description
Phone
Studio
Position Description
Phone
 
KELLY KIRBY TEACHER'S COURSE AND REGISTRATION INFORMATION
(Please Read Carefully. You must accept the terms below to be able to submit your application)
Location The Arts Connection
#5–12491 No 2 Road.
Richmond, B.C.  V7E 2G3
Course Fee $375 + $18.75 (GST) = $393.75
Supplies Fee $175.00 + $7.25 (HST) =$152.25
(Supplies include:  4 Kelly Kirby Books, Teacher’s Manual, and Student Flashcards)
Course Prerequisites Minimum Grade 8 RCM to attend the course.
Age requirement: 16 years and up
 
  • All programs are subject to applicable taxes.
  • Non-refundable payment required upon registration by cash, cheque or credit card.
  • All declined credit cards or returned cheques, regardless of reason, are subject to $25 service charge.
  • There are NO REFUNDS for teacher’s course unless for medical reasons. A physician’s note is required for a refund.
I have read and understood the policies outlined above and agree to the terms and fees outlined therein. I understand that Kelly Kirby Publications will, in an effort to reduce paper waste, be sending correspondence via email and I know it is my responsibility to check my mail regularly.
Payment Method Cash Cheque Visa Mastercard