Registration

REGISTRATION

Submit this form to begin the registration process for Music & Me!

* Indicates required field

Registering for: *

Parent/Guardian Name *

First

Last

Email *

Phone Number *

Child Name *

First

Last

Child Age *

Will you be enrolling an additional child? (Siblings receive a discount of $30. Enrolling 3 or more? Contact us!) *

No Yes

If yes, please add the sibling's information below.

Additional Child Name *

First

Last

Additional Child Age *

Where did you hear about our class? *

Upon clicking 'SUBMIT' you will be directed to our store to make your payment. Your payment must be received in order to complete your registration. If at any time you have any questions, please CONTACT US for assistance. Thank you!

I agree to receiving marketing and promotional materials

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