Student Name *

First Name

Last Name

New To Opus? *

BEFORE YOU REGISTER
Please contact us for a trial lesson here

Yes, I've had my trial lesson

No, Returning Student

Phone Number

(###)

###

####

Parent Name

First Name

Last Name

Release of Liability *

I authorize Opus Community Music School to use photographs of my child taken while participating in Opus events in the school's sponsored publications such as website and brochures.

I Agree

Handbook Policies *

I acknowledge that I have read and agree to terms and conditions outlined in the Opus Handbook

I Agree

Payment Policies *

If you choose installment payments (which include a $2.50 per check charge) your payment will be due by the 1st lesson of each month during the semester, but incur a late fee of $5.00 or 5%, whichever is smaller, if not paid by the 15th day of the month.

I Agree

Medical Emergencies *

Opus Community Music School can accommodates students with disabilities. Students with special needs are asked to contact the director.

I Agree

Electronic Signature *

I warrant the truthfulness of the information provided in this application. I understand my first and last name as written in the following field constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

First Name

Last Name