2023-2024 Private Music Registration

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Students Name *

Address *

Birth Date *

City *

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Postal Code *

Email Address *

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Parent Name *

Emergency Contact *

Cell Phone *

Emergency Tel *

Health Concern

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Class *

Start Date *

Day *

Time *

Total *

Amount *

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Class (copy)

Start Date (copy)

Day (copy) *

Time (copy)

Total

Amount (copy)

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Class (copy) (copy)

Start Date (copy) (copy)

Day (copy) (copy) *

Time (copy) (copy)

Total (copy)

Amount (copy) (copy)

Authorize payment *

I authorize The Oakville Academy For The Arts to charge my credit card for payments, materials, recital tickets, and any applicable fees.

Payment Options *

Payment in Full
Monthly Payments

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Card Number *

Name on Card *

Expiry *

Card Type *

CVV Code *

Cancellation:

30-day written notice is required by the 15th of the previous month via email. Initial deposit of your first and last month, registration fee, and recital tickets are non-refundable and non-transferable.

Registration Fee (New Client)

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Date Registered *

Administrative Name *

How did you hear about us?

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Total first payment at registration (includes HST) *

Payment Method *