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After School Music Program Registration Form
Please fill out the following form to register for our After School "Explore Music Program". This program is for children ages 6 - 10 and has a maximum of 8 participants.
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Email
*
Your email
Are you a new or existing OTOB family?
I am a new customer (we will be in touch to process your payment and set up your billing information)
I am an existing customer (your first payment will be processed upon registration to your billing account on file)
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Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Birthday
*
MM
/
DD
/
YYYY
Pick Up
*
We offer pick up from Bruce Public School, Morse Public School, St. Joseph's Catholic School and Leslieville Public School. Please let us know how your child will be arriving at OTOB for the program:
Choose
I give permission for On the Off Beat Music School's teachers and staff to pick up my child from Bruce Public School
I give permission for On the Off Beat Music School's teachers and staff to pick up my child from Leslieville Public School
I give permission for On the Off Beat Music School's teachers and staff to pick up my child from St. Joseph's Catholic School
I give permission for On the Off Beat Music School's teachers and staff to pick up my child from Morse Public School
My child will be getting to OTOB on their own (Program will start at 3:45 approximately)
School Teacher (needed for pick-up)
Please tell us who your classroom teacher is (when you know). Parents will need to e-mail their classroom teacher and let them know that OTOB will be picking up their child from school.
Your answer
I agree to the OTOB policies 2022/23 found at
https://ontheoffbeat.ca/otob-policies-2022-23/
.
*
Yes, I agree
No, I do not agree
Required
I give On the Off Beat Music School, Inc. permission to bill the following September 2022 payment to my billing account on file upon registration, as well as subsequent monthly payments on the 1st of the month from October, 2022 - June, 2023.
4 days/week $550 per month
3 days/week $425 per month
2 days/week $300 per month
1 day/week $175 per month
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Please specify which days of the week you are registering for (Tuesday - Friday or just Tuesdays for ex.)
Your answer
Emergency Contact
In case of illness or medical emergency, On the Off Beat will make every effort to make immediate contact with the Emergency Contact or the person designated below:
Parent/Guardian's First Name
*
Your answer
Parent/Guardian's Last Name
*
Your answer
Personal phone number
*
Your answer
Work Number
*
Your answer
E-mail
*
Your answer
Is there anything we should know about your child? (Allergies, health concerns, etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
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