Family Tree Music Class Registration
Family Tree Music Program at Preschool of the Arts
Email address *
Child's Name *
first, last
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Allergies or Special Medical Conditions *
Your answer
Parent / Caregiver 1
Name (s) of Parent / Caregiver *
First, Last
Your answer
Home Address of Parent / Caregiver *
street address, city, postal code
Your answer
Phone of Parent / Caregiver *
include area code
Your answer
Email Address of Parent / Caregiver 1 *
Your answer
Occupation of Parent / Caregiver
Your answer
Work Phone Number of Parent / Caregiver
Your answer
Names and Ages of other Children in the Home
Your answer
I would like to Register my child for:
Mixed Age class (newborn – 5 years of age)
Babies Classes are for newborn – 8 months at registration
Music Readiness is for ages 4-7
10:30am (mixed ages)
11:45 Babies only
Monday
4:30-5:30
Thursday Music Readiness
9:30am (mixed ages)
10:40am (mixed ages)
Friday
9:00 (mixed ages)
10:00 (mixed ages)
Saturday
Permission
I hereby grant my permission for photographs of my child to be taken during class for the purpose of using on the Preschool of the Arts website and facebook. *
Required
I hereby grant my permission for photographs of my child to be taken during class for the purpose of using on the Preschool to be posted on the password protected Parent Portal. *
Required
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