Sign up NOW for a FREE MusicFirst Class on Monday, January 23rd at the OPEN HOUSE LEARNING CENTER

OHLC FREE MusicFirst 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*

FREE CLASS CHOICE *

Has your child been in a Music classes before?*

	YES
	NO

If your child has taken Music classes before, what type of class? If you choose other, please provide that info in the comment section below.*

OPMI MusicFirst Resposibility/Payment*

BY CHECKING THIS BOX, I understand that Parents are required to participate in ALL Infant and Toddler Classes. I understand this 45 minute class is FREE and I am under no obligation to join the session after January 23rd.

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 has 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 an injury, loss or damage connected in any way whatsoever to participation in OPMI activites whether on or off of the premises affiliated with OPMI. He or she understands that this release includes any claims based on negligence

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Sign up NOW for a FREE MusicFirst Class on Monday, January 23rd at the OPEN HOUSE LEARNING CENTER

OHLC FREE MusicFirst CLASS Registration Form

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