Registration Form
Email address *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Phone Number
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Do you text?
Address- street, city, state, zip
Your answer
Student's Name *
Your answer
Student's Birthday *
MM
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DD
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YYYY
Student's School & Grade (if applicable)
Your answer
Students Prior Music Education (if any)
Your answer
Emergency Contact (Name/ relationship to student) *
Your answer
Emergency Contact (phone number) *
Your answer
Student Allergies or Medical Conditions
Your answer
My child is a NEW or Returning Student *
La-ti-Da Registration Waiver of Liability and Release. By selecting YES below the parent or legal guardian confirms that he or she has authority to sign, has read the entire document, and has understanding that the document waives certain rights of the child(ren) and the person signing.The parent or legal guardian acknowledges and agrees that neither La-ti-Da Productions, Inc., nor any of its officers, board members, directors, employees, agents, Instructors, or any other representatives (collectively referred to hereinafter as the "Representatives") can be responsible for any injuries to persons or property arising out of participation of the child(ren) in the La-ti-Da Productions Programs. In consideration of the benefits to be derived by the child(ren) and the undersigned from participation by the child(ren) and any other person who may have any rights to assert any claim on behalf of himself or herself or the child(ren) with respect to injuries to the person or property of the child(ren), hereby waives and releases any claims for damages against La-ti-Da Productions, Inc., and/or its Representatives arising out of injury or damage to the person or property of the child(ren) and hereby releases and forever discharges La-ti-Da Productions, Inc., and its Representatives from all actions, causes of action, suits, damages, judgments, claims and guardians, representatives, heirs, executors, administrators, successors or assigns may have against La-ti-Da Productions, Inc., and/or its Representatives arising out of participation by the child(ren) in programs facilitated by La-ti-Da Productions, Inc.I have read the La-ti-Da Music registration, tuition and refund policies above on the web form and by submitting this form, agree that I accept the registration, tuition and refund terms stated on this La-ti-Da Music Form.
I have read and understand the Waiver of Liability and Release and agree *
Let us know how you heard about us... it helps us know where our advertising efforts work!
How did you hear about La-ti-Da??  *
What would you like to Register for? *
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