2025 to 2026 Adult Academic Year Registration Form

Medical / Health Disclaimer
I declare and affirm that I have an active medical insurance*

YesNo
Please list and explain any allergies
Do you have a special health or medical condition that would influence your ability to perform in the class or may regularly intervene with your committed class time?*

YesNo
Please explain

Statement of Understanding
Please read the enrollment policy before submission and before making payment towards your lessons.*
Acknowledgement of Policies and Procedures*

I have reviewed and received a copy of the center's policies and procedures as it is attached in this registration form.
I have read and understood that policies regarding unexcused absences, refunds, and overdue payments.
Date Signed*

MonthDayYear
Sign Document*
Payment
Payment is not required to submit this registration form. However, lessons will not be scheduled until receipt of payment. You will be invoiced when your submission is received.

Thank you for considering the Ottley Music School. We look forward to seeing you in our halls.
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2025 to 2026 Ottley Music School Academic Year Adult Registration Form