Kindermusik Registration Form

Parent(s) Name

First NameLast Name

Email Address*

Student's Name(s)*

Student's Gender*

MaleFemale

Student's Birthday*

Contact Number*

Do you recieve Text at this number?*

YesNo

Address*

City*

Zip Code*

Please Select your Preferred Session*

2 Days - July 22, 29 ($50)Per class ($25)Siblings discount (2 days $40, 1 day $20)

We often take pictures of our kids as they are engaged in our music time and other activities. We like to use them on our website and social media site to keep parents up to date on what's happening at My Legacy of Music Center.

Please click yes if you WILL give permission to have photographs of your child taken*

YesNoOnly for my personal update/emails etc.

How did you find us?*

If you were referred by a friend please let us know who, so we can thank them!