Ladies Night Out

LADIES NIGHT OUT

Need a Ladies Night Out? Want one that you will remember forever? Look no further, OPMI is offering a FABULOUS night out with your girlfriends!!

In this 2 hour workshop you will learn a chair dance to one of our favorite LOVE songs - all while drinking and laughing with friends!

Must be 21 to join, bring a friend for a $10 discount! CD of the song will be given to all participants.

WHERE: Stoneybrook Town Center (1201 Black Lake Blvd)
WHEN: Friday, March 28th from 7:00-9:00pm
COST: $35 per person / register with a friend for a $10 discount

**REGISTRATION DEADLINE is 3 days before event and if you sign up after deadline, late fees will be applied for each child you register.

**Payments are due the Monday before event and if paid after you will be subject to withdrawal and late registration fees.

**if you cancel the week of event, no refunds or credits will be issued.

REGISTRATION FORM BELOW

PAY NOW

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*

Cell Phone*

Are you signing up with someone?*

	YES
	NO

Please list FULL NAME of person you are registering/paying with*

PICK SESSION*

Saturday, March 28th (7:00-9:00pm)

Do you authorize OPMI to use photos of you on our website and/or promotional material?*

OPMI Terms and Conditions*

I understand that this program runs from 7:00pm - 9:00pm and that the fee is $35 per person unless there are 2 that register together in which case a $10 discount will be applied but must be paid together. Please wear comfortable clothing or if you wish something festive! I understand there are no refunds for cancellations, leaving early or not showing up after payment has been made. Any registrations received day prior or day of event will have a $10 late payment fee applied. Payments are due prior to event,NO PAYMENTS will be accepted in person at the event. If payment has not been made prior to event then you may not participate. I have read and agree to the OPMI Terms and Conditions regarding payments and cancellations.

OPMI Payment Policy*

I understand Payments are due the Monday before event and if paid after you will be subject to withdrawal and late registration fees. I understand REGISTRATION DEADLINE is 3 days before event and if you sign up after deadline, late fees will be applied for person/s registered. I understand that there are no refunds or credits if you cancel the week of the event, supplies and materials are already purchased.

OPMI Liability Waiver*

BY CHECKING THIS BOX, I AGREE THAT I HAVE READ AND VOLUNTARILY SIGNED THIS AGREEMENT ELECTRONICALLY and further agree that no oral representation, statements, or inducement apart from the following written agreement has been made: IN CONSIDERATION, of being permitted to utilize the facilities, services and program of ORLANDO PREMIER MUSIC INSTRUCTION, herein after 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 an 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 includes any claims based on negligenc

Special Requests/Needs/Allergies/Concerns:

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