DoReMe&You: Early Childhood Music & Movement at Bow Market, Union Square
Tuesdays 4/23 - 6/18 (2019)
10:30 am OR 11:30 am
$15 for a single class or $60 for 5 sessions
Address: The Canopy Room, 2nd floor of Bow Market, 1 Bow Market Way Somerville MA 02143

Payment accepted via Venmo (@strongwater-studios)

Your Name *
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Email Address *
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Phone Number *
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Zipcode
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Child's Name & Age *
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If you personally will not be attending with the child, who will be? (Name/relationship to child)
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Emergency Contact (Name, Relationship to Child, Phone #) *
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Allergies, Medical, Safety Information? *
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Favorite Songs? Bands? Genres?
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What class time will you be attending?
Are you comfortable with pictures taken of you/ your child and posted online? (Please feel free to specify your preferences, such as "Facebook only", "no tagging please") Please note that pictures will only be used by StrongwaterStudios and will never be transferred or sold. *
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How did you come to hear of this program? *
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Questions? Concerns? Is there anything else you'd like us to know?
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Please read in full and type your name below as a digital signature *
I, the undersigned, for myself and each sponsored dependent and guest, assume full responsibility for injuries or damages which may occur to me or my sponsored guests or dependents and do hereby fully and forever release and discharge Strongwater Studios from any and all suits, claims, damages, cost and expenses of every kind except that arising out of the sole negligence or willful misconduct of Strongwater Studios.I, the undersigned, for myself and my sponsored dependents and guests further agree to use all related equipment, materials, and instruments properly and leave them in good condition.I, the undersigned, understand the activities that will be held during the session and have had my questions answered to my satisfaction.I, the undersigned, certify that the information I have given on my registration form is complete and accurate.By my signature below, I agree to the provisions of this Release of Liability Waiver for myself, for my sponsored dependents and guests, and for my assigns intending to be legally bound. My signature below indicates that I have read, understand and will follow all rules and regulations.
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