Little Music Movers Registration

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Thank you for your interest in participating in the Little Music Movers early childhood development music class! Please submit this form to initiate the registration process. Since each class has a limited number of spots, you will receive an email either confirming your registration or informing you that the class is already full. You will also receive a copy of the participation waiver that will need to be signed the first day of class.

Thank you!
Kaelie Gerber, SCMT, MT-BC

Email *

Please list the name(s) of adult(s) who will attend the class: *

How many children will attend the class with you? *

Other:

Please list the name(s) and age(s) of child(ren) who will attend the class: *

What session(s) would you like to register for? All the classes will start at 10 am and last 30-40 minutes. The cost of tuition covers all members of your family! *

$5 - Trial class - Wednesday in January

$35 - Jan. 3, 10, 17, 24, 31

$5 - Trial class - Wednesday in February

$30 - Feb. 7, 14, 21, 28

$5 - Trial class - Wednesday in March

$45 - Mar. 6, 13, 20, 27 & Apr. 3, 10

I need a different option to pay $7 a class for select dates!

Required

Do you give Kaelie Gerber permission to take photos or videos of you and your children for educational purposes?

Yes

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Do you give Kaelie Gerber permission to take photos or videos of you and your children for promotional purposes?

Yes

Clear selection

Send me a copy of my responses.

Submit

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