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
Name of adult filling this form out and your relationship to the child.
Cell phone with text option where we can most reliably contact you
Other adults who might attend class at times and their relationship to the child.
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.
Child's full name (if registering multiple children, please fill out a form for each child)
Child's birthdate month/day/year
I am registering this child for:
First Steps in Music 18 mos. - 3.5 years olds, 10:30 - 11:15
Music for Little Mozarts. 3.5 year olds - 5 year olds 11:30 -12:15
Does the child have any medical issues or allergies we should know about?
Send me a copy of my responses.
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