Sign up NOW for a FREE MusicFirst Class on Wednesday, October 12th
This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
SBW MusicFirst FREE CLASS Registration Form
Please note that all fields followed by an asterisk must be filled in.
Parent/Guardian First Name*
Parent/Guardian Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Cell Phone*
Child's Full Name*
Age*
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0
1
2
3
4
5
FREE CLASS CHOICE *
---Select---
INFANT CLASS (Ages 0-1) Wednesday 10:30-11:15am
TODDLER CLASS (Ages 1-2) Wednesday 11:30-12:15pm
PRESCHOOL CLASS (Ages 3-5) Wednesday 12:30-1:15pm
OPMI MusicFirst Resposibility/Payment*
BY CHECKING THIS BOX, I understand that Parents are required to participate in ALL Infant and Toddler Classes, and the Preschool Class is WITHOUT parent. If I am a preschool parent I will pick my child up at the conclusion of class. I understand this 45 minute class is FREE and I am under no obligation to join the session after October 5th.
MusicFirst Liabiliy Waiver*
BY CHECKING THIS BOX, I AGREE THAT I HAVE READ AND VOLUNTARILY SIGN THIS AGREEMENT ELECTRONICALLY and further agree that no oral representation, statements, or inducement apart from the following written agreement have been made: IN CONSIDERATION, of being permitted to utilize the facilities, services and programs of ORLANDO PREMIER MUSIC INSTRUCTION, hereinafter referred to as “OPMI”, for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with OPMI, the undersigned, for himself or herself and any personal representatives, heirs, children and next of kin, hereby acknowledges, agrees and represents that he or she releases OPMI and its staff members from all liability for any injury, loss or damage connected in any way whatsoever to participation in OPMI activities whether on or off of the premises affiliated with OPMI. He or she understands that this release included any claims based on negligenc
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