Music with Ms. Rachael 'Caregiver & Me' Class Series Registration
Welcome! You have reached the registration form for Beginnings: For Young Children & Their Families, LLC in collaboration with Rachael Claire Music. 

Music with Ms. Rachael 'Caregiver & Me' Class Series has been planned with infants, toddlers, and their caregivers in mind. Older children are most welcome too. Ms. Rachael will lead 45 minutes of song and movement. Afterward, the space will be available for another 15 minutes of socializing.*

Registration is required for each child attending the Music with Ms. Rachael 'Caregiver & Me' Class Series. Class size will be limited to 12 children. Payment options are included below. To secure space for your family:
1- Complete this form
2- Submit class payment 
A welcome email will be sent to the address provided upon completion of payment & registration.

*This class series will be held indoors at Beginnings "Community Family Room" located in the garden unit at 3115 S May St in Bridgeport, Chicago. Please note the entrance to the space includes five steps down from the sidewalk.

Not quite ready to register? Unable to attend this series but interested at a different date/time?
Complete the interest survey to help plan for future offerings. 

Class Instructor: Ms. Rachael

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Email *
Caregiver's Name (First and Last) *
Relationship to child *
Child's Name and Birthdate  *
(Registering Siblings? Please list each child with their birthdate.)
Will another caregiver attend with you?
If so, please provide their name and relationship to child
Music with Ms. Rachael will be held Wednesdays 10:30-11:30am. 

I am registering for:
(Check all that apply.) 
Parent/Guardian Agreement *
1) I understand that I am responsible for my/our own attendance, and that missing any portion of the class or class series does not grant me make-up classes. All registered participants will receive any group email communications and/or paper handouts regardless of attendance. If Ms. Rachael is sick or cannot teach class due to an emergency, Sidney will provide a related interactive sensory experience. In the event that class is cancelled, a make-up class will be scheduled following completion of this class series. 

2) Beginnings 'Community Family Room' is a shoe-free space. I understand that my and my children's/dependent's shoes must be removed once inside. 

3) I am participating in these classes/musical exercises with my child/dependent by my own choice. I understand that there shall be no liability on the instructor's part or Beginnings: For Young Children & Their Families, LLC.  

4) I will not attend class if I or my child/dependent are feeling unwell. 

5) Should I require further information about this instructor, I may visit their website at 
What other information should the instructor know to best support you and your child(ren)? 
What questions do you have for the instructor? 
Feel free to share your child's/family's favorite songs here :)
I am sending the total payment via: *
A copy of your responses will be emailed to the address you provided.
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