Pre-K Music Adventure Class
Classes will run on Thursdays 9-9:45 starting July 6th-August 24th. This is a parent child class for kids 3-5 who have not started Kindergarten. Child drop off is also an option. Location is 42 Nichols St. Suite 7 Spencerport, NY. Complete the form below to register. Contact brewschoolofmusic@gmail.com with any questions!
Child's Name
*
First Name
Last Name
Birth Date
*
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Parent/Guardian Contact 1
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Parent/Guardian Contact 2
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Social Media Release
I give BSOM permission to use photos and videos of my child on social media
*
Yes
No
I give BSOM permission to use my child's first name when posting photos or videos
*
Yes
No
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Medical Info
Does your child have any medical needs or concerns? Please explain
*
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Payment Information
If you select cash, check, or venmo we will email you an invoice. If you are paying with a credit card, fill out the form below.
How would you like to pay?
*
Cash
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My Products
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( X )
1st Child
$
140.00
Quantity
1
2
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10
2nd Child
$
60.00
Quantity
1
2
3
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9
10
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: