Music & Movement Class Registration

Music & Movement Class Registration
Parent Guardian Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child Information
Child(ren) Information
Registration Dates
Which class dates are you registering for?
Photo/Video Release
I understand that photographs and video recordings may be taken during this event. I authorize the event organizer, its representatives, partners, and authorized agents to photograph and/or record the child(ren) listed on this registration and to use those photographs and recordings for promotional, marketing, social media, website, advertising, publicity, and related purposes without compensation.
Acknowledgement
Parent/Guardian Signature
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Parent Guardian Information