Babies & Toddlers

Page 2 of 4: Student Information
Your Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Birth Date*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Will you be the primary caregiver bringing your child to class?

YesNo, another caregiver (nanny, family member etc.) will be bringing my child to class
Contact for primary class caregiver if not the parent
Please enter a valid phone number.

Page 3 of 4: Liability/Media Release & Studio Policies
By checking I agree to release Soquel Ross and Nimble Notes Music, as well as any facility where a class or event is held from all liability, costs and damages which arise from participation in Nimble Notes Music Classes. I agree to accept financial responsibility for the costs related to emergency treatment and give my confirmation of the same.*

I agree
By checking I am agreeing that Nimble Notes may use pictures & other media of me & my child/children for promotional purposes. (Names are not used)

I agree
Cancellation Policy
- If you can not make a class for any reason please let the instructor know via text: 303-250-9295
- Missed classes are not refundable
- If there is availability in the schedule you may make up another day. (This is not guaranteed)
- Be on time. If you are going to be more than 5 minutes late you'll need to skip class or make up
Powered by Jotform SignClear

My Products

Family Music

$250.00

Enter coupon

Total

$0.00

Page 1 of 4: Choose Your Class