Discovery Day Registration Form
Thu, June 5, 2-5 pm
Parent/Caregiver Name
*
First Name
Last Name
Parent/Caregiver Email
*
example@example.com
Parent/Caregiver Phone Number
*
Format: (000) 000-0000.
Child Name
*
First Name
Last Name
Child Age
3
4
5
6
7
8
9
10
Other
Second Child Name
First Name
Last Name
Second Child Age
3
4
5
6
7
8
9
10
Other
Is your family currently enrolled at Lucy Moses School?
*
Yes
No
Which Discovery Day activities are you interested in?
*
Dance Sample Class
Dalcroze/Early Childhood Music Sample Class
Instrument Stations
Discovery Day Concerts
What is your preferred time range for sample classes?
*
2-3:30 pm
3-4:30
4-5
How did you hear about Discovery Day?
*
Email from Lucy Moses School/Kaufman Music Center
Kaufman Music Center website
Social Media
Word of mouth
Signage at Kaufman Music Center
Child's teacher
Other
Is there anything else you'd like to include? Additional sibling info can be added here.
Submit
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