Sprouts Academy Music Makers Registration 2021-2022
An engaging class that will teach your child about rhythm, movement, song lyrics, instruments, social emotional skills, and most of all lots of fun!

Music Makers classes run every Monday except for Holidays (Oct. 11, Jan. 17, Feb. 21, Spring break & Christmas break).

Ages walking-5 yrs class

*The younger children require a caregiver to participate. For independent children, caregivers need to sit in the class area and observe, or participate if they wish.
*For new students, a one-time application fee of $25 is due at the time of registration.
*For multiple siblings, younger children can sign up for the older class with their sibling (as long as the adult can participate). Any child participating needs to be registered.
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What age group and session(s) are you registering your child for? (One form per child please) *
Child's Name *
Child's Birthday *
Home Address *
Parent 1 Name *
Parent 1 Cell *
Parent 2 Name *
Parent 2 Cell *
Best person to receive text messages & phone calls *
Best e-mail for school communication *
Emergency Contact name (other than parents) *
Emergency contact relationship to child *
Emergency contact phone number *
Others authorized to drive my child home
Allergies or Medical Conditions
Is it okay for Sprouts Academy to use your child's photograph for promotional purposes online and/or in printed format?
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Would you like your contact information to be accessible to other parents from Sprouts Academy for birthday invitations or scheduling playdates?
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By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge: *
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