Toddler/Pre-K Classes
Registration for Music For Little Mozarts (ages 3-1/2 - 5yrs) or First Steps in Music (ages 18 mos- 3-1/2). For more information, email pitmanmusiclessons@gmail.com
Email address *
Name of adult filling this form out and your relationship to the child. *
Your answer
Cell phone with text option where we can most reliably contact you *
Your answer
Other adults who might attend class at times and their relationship to the child.
Your answer
Do any of the adults attending have mobility issues? Ability to get down on the floor and back up is a part of the class, but we can make accommodations as needed.
Your answer
Child's full name (if registering multiple children, please fill out a form for each child) *
Your answer
Child's birthdate month/day/year *
MM
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DD
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YYYY
I am registering this child for: *
Does the child have any medical issues or allergies we should know about? *
Your answer
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