Summer Music & Movement Class Sign-Up

Music & Movement

Mondays 10am-10:45am, and Saturday June 27 10am-10:45am
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any allergies or medical conditions? Please specify.
Are there any special needs or accommodations required for your child?

Music & Movement 6/22

June 22 10am-10:45am

$10.00

Music & Movement 6/27

June 27 (Saturday) 10am-10:45am

$10.00

Music & Movement 6/29

June 29 10am-10:45am

$10.00

Music & Movement 7/6

July 6 10am-10:45am

$10.00 Quantity

Music & Movement 7/13

July 13th 10am-10:45am

$10.00 Quantity

Music & Movement 7/20

July 20 10am-10:45am

$10.00 Quantity

Music & Movement 7/27

July 27 10am-10:45am

$10.00 Quantity

Music & Movement 8/3

August 3 10am-10:45am

$10.00 Quantity

Total

Music & Movement