Music Play - Fall 2026
Please fill out the form below to register for an 8-week session of Music Play classes. I'm excited to connect playfully with you and your child through music!
Parent Name
*
Parent Phone
*
Email
*
example@example.com
Student 1 Name
*
Student 1 Date of Birth
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Add another child to this registration
Student 2 - Name
*
Student 2 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Add another child to this registration
Student 3 - Name
*
Student 3 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Which class would you like to join?
*
Morning Class: Mondays from 9:00-9:45 AM
Afternoon Class: Tuesdays from 4:00-4:45 PM
I occasionally share photos/videos on social media, my website, and/or promotional materials. How may your student be included in social or promotional content?
*
No sharing — "Please do not include my student in any photos, videos, or public content."
Limited sharing (no face or name) — "You may share images or videos of my student without showing their face or using their name (back view, emoji face sticker, etc.)."
Full sharing (face and first name allowed) — "You may share photos or videos that include my student’s face and first name in social media/website/promotional materials."
Anything you would like to ask or share?
How did you hear about this class? (If you were referred by a friend or are referring a friend, please mention their name here!)
Payment
*
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Music Play registration
$150.00
$
150.00
Quantity
1
2
3
Music Play sibling registration
Add the number of additional children (6 months or older) you are registering.
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Month
Expiration Year
2026
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Expiration Year
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