Music Together Form

* Indicates required field

Name of Adult Attending Class *

First

Last

Relationship to Child *

What class are you signing up for? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number to text if class is cancelled due to weather or sickness *

Email to send registration info *

Participating Child's Name & Birthdate *

Additional Partipicating Child(ren) & Birthdate(s) *

Would you like a Music Together "Sticks" CD? Tuition cost is the same, with or without the cd. *

Yes No

Anything special you would like me to know? Would you like to switch to Thursday 8:45am if I add another class? *

Have you previously taken Music Together with Lakeside Music (Ms. Kat)? *

Yes No

Have you previously taken music together or another group music class? *

Yes No

How did you hear about us? *

Covid Waiver *

I agree.