March Break @ Mr. Ben's Open Door Music!
Register here for March Break programming 2019
Email address *
Child's first name *
Your answer
Child's last name *
Your answer
Child's DOB *
MM
/
DD
/
YYYY
Additional children names (and ages)?
Your answer
Parent or caregiver name *
Your answer
email address where you can be reached *
Your answer
phone number *
Your answer
PLEASE NOTE: parents are required to stay with children in class
Please choose the class(es) you plan to attend *
Required
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