Beginner Piano Class
Fridays 11:20-12:20pm
This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
Little Orange Academy After-School Music 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*
Home Phone*
Student's Name*
Age*
---Select---
4
5
Music Class *
---Select---
Piano - Fridays @ 11:20am
Do you need to purchase an instrument through OPMI?*
---Select---
Keyboard ($80.00)
NO
Where will your student go after their music class*
---Select---
With Classroom Teacher
Parent Pick-Up
Do you authorize OPMI to use photos of your child on our website and/or promotional material?*
---Select---
YES
NO
OPMI Terms and Conditions*
I have read and agree to the OPMI Terms and Conditions regarding payments, cancellations, instrument requirements and child pick-up and I wish to register my child for this class.
Special Requests/Needs/Concerns:
Share this page:
What's this?
Facebook
X
Pinterest
Tumblr
Reddit
WhatsApp
Welcome to OPMI!
Home
Why OPMI
Private Lessons and MORE!
Music Lessons
Art Lessons
Summer Camps
After-School Programs
Community Classes
Recitals
Free Lessons
Make A Payment
Our Team
About Me
Our Teachers
Job Opportunities
Contact Us
Additional Fun Offerings!
Upcoming Events
Parents Night Out
Paint Nights
Dance Fitness
Adult Classes
MusicFirst
Resources & Links
Music Resources
Free Stuff
Buy and Sell
Privacy Policy