Fall 2017 Mainly Music Registration
Please complete the following information so the mainly music team can register your family. Since space is limited, registration is first-come, first-served. Families will be notified of a spot in mainly music as registration forms are received. If the mainly music roster is full, we will gladly put your family on a waiting list and contact you when/if space becomes available.

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Session
We offer two Friday morning sessions. Session 1 will meet from 9:15 - 10:15. Session 2 will meet from 10:45 - 11:45. Please choose the session you are registering for.
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Children attending
Please list the names of the children who will be attending. (Must be between 0-5 years of age.)
Child 1 First and Last Name *
Child 1 Date of Birth
MM
/
DD
Child 1 Gender *
Required
Child 2 First and Last Name
Child 2 Date of Birth
MM
/
DD
Child 2 Gender
Child 3 First and Last Name
Child 3 Date of Birth
MM
/
DD
Child 3 Gender
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Family Information
Parent First Name *
Parent Last Name *
Parent Birthday
MM
/
DD
Spouse Name
Home Phone *
Street Address *
City *
Zip Code *
Email *
Re-Enter Email *
Church Affiliation
(if any)
How did you find out about mainly music?
Expected/Adopting?
We love to celebrate new babies at mainly music! If you are expecting or adopting, please enter your due date or expected arrival date below.
Occasionally we host optional lunch discussions following the mainly music session. Please help us plan these discussions by listing some topics that are current challenges for you related to parenting, marriage or stage of life.
Caregiver Information
If a caregiver will be bringing your child(ren) to music, please provide the following information. (If not, skip to the next section.)
Untitled Section
Caregiver First Name
Caregiver Last Name
Caregiver's relationship to the child
i.e. grandparent, aunt, babysitter, etc.
Caregiver Birthday
MM
/
DD
Caregiver Address
Caregiver Email
Waiver of Liability Statement
I/We, the parent(s) or guardian(s) of the children listed above, release Trinity Presbyterian Church, its employees and members, and the adults in charge of mainly music from any and all claims resulting from injury or damage that may be sustained by my/our child or me while participating in mainly music and any mainly music associated activities.
I/We Agree *
By typing your name below, you are signing in agreement with the above statement.
Permission to use pictures
Do we have permission to use pictures of your child(ren) taken at mainly music on Trinity's mainly music website?
Payment
The cost for the spring session of mainly music is $45 per family. Once your registration has been confirmed, please mail your registration fee to Trinity Presbyterian or bring payment to your first music session. Please make your check out to Trinity Presbyterian Church.  We ask that you mail payment as soon as possible.  We understand that $45 is a significant amount of money and if the cost prohibits you from being able to attend mainly music, please contact us as we have scholarships available for those in need.  

We are so appreciative of you prompt payment!
This information is being collected for the express purpose of this mainly music. The only use of your details will be to advise of upcoming mainly music events and details of the children and family programs being run through this church.
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