Music Together Form

* Indicates required field

Which class are you signing up for? *

Your name *

First

Last

Relationship to Child *

Name/Relationship of grownup attending class (if different) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

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

If you would like an additional person, such as a nanny, texted as well, please put their number here *

Email to send registration info *

If you would like an additional person, such as a nanny, emailed this info, please put their email here *

Participating Child's Name (Nickname) & Birthdate *

Participating sibling(s) (nicknames) & Birthdate(s), if applicable *

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

Yes No

Anything special you would like me to know? *

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

1 child = $105, 2 = $145, 3 = $185 Please type your total below to be ready for the Venmo payment screen. If you wish to pay by cash/check, type CASH/CHECK in the space below. *

Waiver *

I agree.

I'm ready to sign up!