Feelings Rock December Classes with Ms. Stacey
Please join me indoors at different locations each week. Text me if you need anything 716-523-6937
Adult Name
First Name
Last Name
Child/Children's Names & Ages (list all here; you don’t need a new form for multiple children just one)
First Name(s)
Age(s)
Phone Number
Please enter a valid phone number.
Join me indoors at different locations
Sunday, Dec 21st stutelage 1030-11:15($15 per family) just music
NYE, Wed Dec 31st@ 10am-1pm- Friendship Fortress (SPECIAL event: music, activities, balloon 🎈 drop at NOON & food included) $40 per family
Email
example@example.com
How would you like to pay for class?
Pay Cash @class
Venmo @stacey-doldan
Cashapp $StaceyDoldan
Would you like to receive information on upcoming events/classes?
Yes
No
Do you give me permission to take pictures of your child/children to showcase what classes look like to others and the fun we have in each class?
Yes
No
Would you like to me to celebrate your child’s birthday in one of my classes in the month of November or December by singing to him or her in the beginning of class? I will message you to confirm & how old ur child just turned or will be turning :)
Yes
No
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