Registration Form 2025/2026 Registration Form THIS FORM IS FOR STUDENTS WHO ARE READY TO COMMIT TO REGULAR PRIVATE AND/OR GROUP LESSONS IN THE 2025/2026 SCHOOL YEAR. FULL FINANCIAL BREAKDOWNS AND SCHEDULING DETAILS WILL BE SENT FOR YOUR APPROVAL AFTER YOUR FORM IS PROCESSED. *If you wish to have a trial with us before registering for lessons please visit our Book-A-Trial page. Student Information STUDENT First Name * First STUDENT Last Name * Last Which location are you registering for? * Etobicoke – The Kingsway Oakville – Glen Abbey Is this student already registered for the 2025/2026 school year? * YES, this student is already registered in another class for the 2025/2026 school year NO, this student is not currently registered but they are a current/previous student at Orrett NO, they have never been a student at Orrett Music Academy Birth Month * JanFebMarAprMayJunJulAugSepOctNovDec Birth Day * Birth Year * Does this student have any special considerations or allergies we can make a confidential accommodation for? * Yes No Please describe special considerations. * Which elementary, middle, or secondary school does this student currently attend? (Type N/A for adult students) * What is your primary goal for music lessons at Orrett Music Academy? * My priority is for my child to have fun above all else Fun matters to a point but I’d like a teacher that pushes when needed Fast-paced musical achievement from a more structured approach OtherOther Would this student like to register to PRIVATE music lessons? * Yes! No, thank you Private Lesson Registration Lesson Type: * In-Person (with the option to go online if needed) Online Only Which instrument are you interested in? Please complete an additional form if the student is signing up for more than one instrument. * Intro Piano (4-7) Classical Piano (5+) Grand Piano (5+) *Premium lesson* Modern Piano (5+) Voice (5+) Violin (4+) Viola (4+) Guitar (7+) Bass Guitar (7+) Ukulele (5+) Drum Kit (6+) Music Theory (7+) Saxophone (9+) Flute (9+) Clarinet (9+) Oboe (9+) Recorder (4+) Private Musical Theatre (5+) Not sure, please contact me How long of a lesson? * 30 Minutes 45 Minutes 60 Minutes 75 Minutes Help me choose Have we already given you a day and time for the 2025/2026 school year? * Yes No Weekly Lesson Day & Time Request PLEASE READ THE FOLLOWING CAREFULLY. In order to facilitate private lessons we require information about your availability. You must complete AT LEAST a first and second choice time range regarding your preference for times. Rest assured that we always start with your first choice and go from there. We will contact you if none of the times you listed are available. Remember, the more flexible you are, the more likely we will be able to get you a spot. Please note that times immediately after school (3:30pm-6:00pm) are taken with most teachers. Additionally, parents may find that traffic and parking are easier to manage after 6pm on weekdays and on Saturday/Sundays. Please consider this when making scheduling requests. 1st Choice Day of the Week * MondayTuesdayWednesdayThursdayFridaySaturdaySunday 1st EARLIEST Lesson START TIME on that Day * Please enter the time only 1st LATEST Lesson START TIME on that Day * Please enter the time only 2nd Choice Day of the Week * MondayTuesdayWednesdayThursdayFridaySaturdaySunday 2nd EARLIEST Lesson START TIME on that Day * Please enter the time only 2nd LATEST Lesson START TIME on that Day * Please enter the time only 3rd Choice Day of the Week MondayTuesdayWednesdayThursdayFridaySaturdaySunday 3rd EARLIEST Lesson START TIME on that Day Please enter the time only 3rd LATEST Lesson START TIME on that Day Please enter the time only 4th Choice Day of the Week MondayTuesdayWednesdayThursdayFridaySaturdaySunday 4th EARLIEST Lesson START TIME on that Day Please enter the time only 4th LATEST Lesson START TIME on that Day Please enter the time only Teacher Selection: If you have already been given a teacher, please enter their name here. If not, you may request a specific teacher or ask us to choose for you. Please note that specific teachers cannot be guaranteed unless we are holding a spot for you. If your preferred teacher is not available or if you would like us to choose for you, please make any notes here that will help us in our selection process. * Teaching Notes: Use this optional section for general comments. How does this student learn best? Are they a beginner? Experience on other instruments? Any other comments on their personality or interests that might help their teacher? Thanks! Orrett Music Academy is currently holding a lesson for me Please note that students who select this option without having a confirmed hold on a time slot OR the hold has expired may not be entitled to the day/time/teacher selected below. Teacher * Day * MondayTuesdayWednesdayThursdayFridaySaturdaySunday Time * Teaching Notes: Use this optional section for general comments. How does this student learn best? Are they a beginner? Experience on other instruments? Any other comments on their personality or interests that might help their teacher? Thanks! Would this student like to register for GROUP class(es) Yes! No, thank you Oakville Group Lesson Registration Which Oakville group class is this student interested in? Please all that apply. * Tiny Tunes (Ages 18-36 months old) – Wed 4:45pm – 30m Steps To Music – Year 1 (Ages 3-4) – Thur 5:00pm – 30m Steps To Music – Year 2 (Ages 4-5) – Thur 5:45pm – 30m Mini Musicians 1 (Ages 3-4) – Tue 4:45pm – 45m Mini Musicians 2 (Ages 5-6) – Tue 6:15pm – 45m Mini Musicians 3 (Ages 6-8) – Tue 5:30pm – 45m Junior/Intermediate Musical Theatre (Ages 7-12) – Wed 6:00pm – 60m Junior Pop Band (Ages 6-8) – Tue 6:15pm – 45m Intermediate Pop/Rock Band (Ages 9-12) – Tue 7:00pm – 45m Teen Pop/Rock Band (Ages 12-17) – Tue 8:00pm – 60m Optional: Any special notes or requests regarding your enrolment in your group class? Etobicoke Group Lesson Registration Which Etobicoke group class is this student interested in? Please all that apply. * Steps To Music – Year 1 (Ages 3-4) – Mon 5:15pm – 30m Steps To Music – Year 1 (Ages 3-4) – Tue 4:30pm – 30m Steps To Music – Year 1 (Ages 3-4) – Sat 10:30am – 30m Steps To Music – Year 2 (Ages 4-5) – Mon 4:30pm – 30m Steps To Music – Year 2 (Ages 4-5) – Tue 5:15pm – 30m Steps To Music – Year 2 (Ages 4-5) – Sat 11:15am – 30m Junior Musical Theatre (Ages 5-7) – Mon 4:45pm – 45m Junior Musical Theatre (Ages 5-7) – Mon 6:30pm – 45m Junior Musical Theatre (Ages 5-7) – Wed 4:00pm – 45m Junior/Intermediate Musical Theatre (Ages 6-10) – Tue 6:45pm – 60m Junior/Intermediate Musical Theatre (Ages 6-10) – Sat 12:00pm – 60m Intermediate Musical Theatre (Ages 8-11) – Mon 6:45pm – 60m Intermediate Musical Theatre (Ages 8-11) – Wed 5:00pm – 60m Enriched Musical Theatre (Ages 10-11) – Wed 6:15pm – 90m Senior Enriched Musical Theatre (Ages 12-17) – Wed 7:45pm – 120m Taylor Swift Choir (Ages 7-12) – Mon 5:45pm – 45m Junior Pop Band (Ages 7-9) – Thur 5:00pm – 45m Intermediate Pop/Rock Band (Ages 9-11) – Thur 6:45pm – 45m Intermediate Pop/Rock Band (Ages 9-11) – Thur 7:30pm – 45m Teen Rock Band (Ages 12-17) – Thur 5:45pm – 60m Teen Rock Band (Ages 12-17) – Thur 8:15pm – 60m Adult Rock Band (Ages 18+) – Thur 9:15pm – 45m Optional: Any special notes or requests regarding your enrolment in your group class? Parent/Guardian Information For adult students enrolling independently, you may enter parent/guardian information as yourself. PARENT/GUARDIAN First Name * First PARENT/GUARDIAN Last Name * Last Email * Confirm Email * Please re-enter email to confirm Phone * OPTIONAL – Additional PARENT/GUARDIAN First Name First OPTIONAL – Additional PARENT/GUARDIAN Last Name Last OPTIONAL – SECONDARY Email OPTIONAL – SECONDARY Phone Are either parent/guardian musically inclined (for example: took lessons as a child, currently plays an instrument as a hobby, etc.)? This information really helps your teacher(s) communicate most effectively with you. * Etobicoke Registration Fee Payment If this student is already registered for an instrument / class at Orrett Music Academy, the $49 will NOT be charged. This fee is applied once PER STUDENT (not per instrument), and includes a music bag, FREE parking pass, and music binder. By checking the box below you agree to its terms and conditions: * I authorize you to charge my credit card for the $49 registration fee (only if applicable). I understand that the registration fee indicated above is NON-REFUNDABLE and NON-TRANSFERABLE unless Orrett Music Academy cannot honour the scheduling requests you made above, in which case it is fully refundable or transferable. Oakville Deposit & Registration Fee Payment If this student is already registered an instrument / class at Orrett Music Academy, the $29 will NOT be charged. This fee is applied once PER STUDENT (not per instrument), and includes a music bag, and music binder. By checking the box below you agree to its terms and conditions: * I authorize you to charge my credit card for the $29 registration fee (only if applicable). I understand that the registration fee indicated above is NON-REFUNDABLE and NON-TRANSFERABLE unless Orrett Music Academy cannot honour the scheduling requests you made above, in which case it is fully refundable or transferable. Additional Registration Information It will take up to 4 business days to send your confirmed schedule. * I understand Upon receipt of the confirmation, you will receive an email with an ACTION REQUIRED asking you to complete another brief form authorizing payment and acknowledging policies. Please note that YOUR REGISTRATION IS NOT SECURE UNTIL THIS SECOND STEP IS COMPLETED. Please be patient as we complete your scheduling request before sending this form. * I understand Registration Payment Information CARDHOLDER Name * VISA / MASTERCARD Number * VISA / MASTERCARD Number VISA / MASTERCARD Number VISA / MASTERCARD Number Month 123456789101112 VISA / MASTERCARD Number Year 20252026202720282029203020312032203320342035 VISA / MASTERCARD Number Postal Code * Please allow up to 15 business days for processing. * I understand and authorize Orrett Music Academy to charge are card provided If you do not have a credit card please check the box below and we will reach out to you with alternative payment options I DO NOT HAVE A CREDIT CARD, PLEASE CONTACT ME Submit If you are human, leave this field blank.
